Advanced Singh Psychiatry DNP PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Sumner, WA
NPI 1497349484 · NPPES record last updated Feb 22, 2021
Key facts
- NPI
- 1497349484
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- ADVANCED SINGH PSYCHIATRY DNP PLLC
- Practice address
- 1313 Fryar Ave Unit 2103
Sumner, WA 98390-1905 - Phone
- (253) 320-0748
- Fax
- (877) 682-9319
- NPI assigned
- Feb 22, 2021
- Organization subpart
- No
Authorized official
- Name
- Wassan Singh, DNP
- Title
- Sole Member
- Phone
- (206) 747-9993
Practitioners 2
-
Wassan Singh, DNP
-
Kelechi Nwaorgu, DNP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210329001547 | WA | Part B Supplier - Clinic/Group Practice | 6800203357 |
Receives reassigned benefits from 1 practitioner Practice locations: Federal Way, WA; Tacoma, WA |
National Provider Directory
Locations
414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748
1313 Fryar Ave
Unit 2103
Sumner, WA 98390
Phone (253) 320-0748
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
1313 Fryar Ave Unit 2103
Sumner, WA 98390-1905
Mailing address
1313 Fryar Ave Unit 2103
Sumner, WA 98390-1905
Phone (253) 320-0748
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All providers in Sumner, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.