Nancy Leefong-Chang Sullivan, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95001168 Issued in CA

Practice address

1105 S 348TH St Ste B103
Federal Way, WA 98003-7027

Phone

(800) 769-0045

NPI assigned

Oct 22, 2014

Last updated

Sep 16, 2019By 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 1

Addresses

Other names 1

• Nancy Leefong Chang Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: nsullivan730436@direct.ochin.org

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

• Seattle King Co Dept of Public Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1780876284
  NPD (past)
• Planned Parenthood Mar Monte, Inc.

  • Community Health Clinic/Center
  • Oakland, CA
  • NPI 1225426588
  NPD (past)
• Planned Parenthood Mar Monte, Inc.

  dba Mar Monte Community Clinic

  • Community Health Clinic/Center
  • San Jose, CA
  • NPI 1598536971
  NPD (past)

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1578967394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24547",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 S 348TH ST STE B103",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037027",
            "telephone_number": "800-769-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8480 Enterprise Way",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946211318",
            "country_code": "US",
            "telephone_number": "510-300-3800",
            "fax_number": "510-433-8739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "NANCY",
        "middle_name": "LEEFONG-CHANG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-22",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95001168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "CHANG",
            "middle_name": "LEEFONG",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dinah Suh, PHARMD
• Michael James Suing, DPT
• Afra I Sulimam
• Muneera Suliman Aljamhan
• Klent Maigue Sulit
• Shanleigh Frances Sullivan
• Victoria Sultan
• Summers Chiropractic & Massage Inc
• Gloria Summers, LMT
• Gregory R Summers, LMP, DC

• Family Nurse Practitioner in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.