Organization Active NPI

Wellbeing Medical Clinic PLLC

  • Primary Care Nurse Practitioner
  • Lakewood, WA
National Provider Identifier
1407715949
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
Legal business name
WELLBEING MEDICAL CLINIC PLLC
Practice address
3520 96TH St S Ste 109
Lakewood, WA 98499-9251
Phone
(801) 602-2645
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Kyunghee Seo, NPNPI 1073903100
Title
FNP/Pmhnp
Phone
(253) 267-1202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP2300X Primary

Addresses

Primary practice location

3520 96TH St S Ste 109
Lakewood, WA 98499-9251

Mailing address

3520 96TH St S Ste 109
Lakewood, WA 98499-9251
Phone (801) 602-2645

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260310003513 WA Part B Supplier - Clinic/Group Practice 8325521115 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, WA

National Provider Directory

National Provider Directory
Tax ID family
Wellbeing Medical Clinic PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1407715949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3520 96TH ST S STE 109",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984999251",
            "telephone_number": "801-602-2645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 96TH ST S STE 109",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984999251",
            "telephone_number": "801-602-2645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING MEDICAL CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "KYUNGHEE",
        "authorized_official_title_or_position": "FNP/PMHNP",
        "authorized_official_telephone_number": "253-267-1202",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.