Geoffrey Fong, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60627373 Issued in WA

Practice address

2719 E Madison St Ste 300
Seattle, WA 98112-4752

Phone

(206) 669-4336

NPI assigned

Mar 26, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Puget Sound Psychotherapy, PSGroup PAC ID 6901332691, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Puget Sound Psychotherapy, PS

  • Mental Health Counselor
  • Seattle, WA
  • NPI 1912310103
  Medicare reassignment Care Compare group NPD
• The Center for Family & Lifespan Development

  • Clinical Psychologist
  • Federal Way, WA
  • NPI 1508153859
  Medicare reassignment NPD
• The Center for Psychological Health, LLC

  • Clinical Psychologist
  • Federal Way, WA
  • NPI 1144694001
  Medicare reassignment NPD
• Lindsey a. Miller, Arnp, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Federal Way, WA
  • NPI 1790022861
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1376885590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33305 1ST WAY S STE B203",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036259",
            "telephone_number": "253-235-5956",
            "fax_number": "253-235-5957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 E MADISON ST STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981124752",
            "telephone_number": "206-669-4336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "599 Canal St",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "MA",
            "postal_code": "018401244",
            "country_code": "US",
            "telephone_number": "978-686-8202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33305 1st Way S Ste B203",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980036259",
            "country_code": "US",
            "telephone_number": "253-235-5956",
            "fax_number": "253-235-5957",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10740 Meridian Ave N Ste 102",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339010",
            "country_code": "US",
            "telephone_number": "206-466-5649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONG",
        "first_name": "GEOFFREY",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60627347",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60627373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian A Folz, M.D.
• Brigitte M. Folz, LICSW
• Adrian Fomby
• Alisha Fong, PA-C
• Dana Fong, M.D., PH.D.
• Kelly Fong
• Lawrence Fong, MD
• Mei-Ji Fong
• Rosemary Fong
• Walter C. Fong, M.D.

• Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.