Shuk C Ting, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041.304403 Issued in IL

Practice address

2635 E Phinney Bay Dr
Bremerton, WA 98312-2767

Phone

(360) 328-8935

NPI assigned

Jun 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Alice S Ting Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1558985994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 E PHINNEY BAY DR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 E PHINNEY BAY DR",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983122767",
            "telephone_number": "360-328-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TING",
        "first_name": "SHUK",
        "middle_name": "C",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.304403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DESKTOP",
            "affiliation": "N",
            "address_1": "2635 E Phinney Bay Dr",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983122767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ALICE",
            "last_name": "TING",
            "middle_name": "S",
            "credential": "REGISTERED NURSE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Paul Tice, MD
• Victoria Tierney, MA
• Steven Paul Tikunoff Jr., CO61095300
• Jessica Lynn Tilley
• Tims Home Medical Supplies Inc
• David D Tinker, MD
• Jane E Tinker, PHD
• Jessica Lee Tinsman, AAS
• Holly Titus
• TLC Dental Inc.

• Registered Nurse in Bremerton, WA
• Providers in Bremerton, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2020; 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.