Soojeong Han

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AP60660601 Issued in WA

Practice address

1128 NE 41St St
Cedar Apartments E305
Seattle, WA 98105-6373

Phone

(646) 647-0356

NPI assigned

Apr 9, 2016

Last updated

Jul 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1460160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1477917086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 NE 41ST ST",
            "address_2": "CEDAR APARTMENTS E305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056373",
            "telephone_number": "646-647-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 NE 41ST ST",
            "address_2": "CEDAR APARTMENTS E305",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056373",
            "telephone_number": "646-647-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAN",
        "first_name": "SOOJEONG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-09",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60660601",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307599",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60660601",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kwanghoon Han, MD
• Kyung Han, M.D.
• Michael Young Han, MD
• SE He Han, DMD
• Sera Han
• Steven Han, MD
• Yu Han, MD
• Zakiya Hanafi, PHD, DSHS
• Hanahn Korman, RN PS
• Katarzyna Dorota Hanaj, ND

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.