Active NPI
Ping Song, ARNP
- Pediatric Nurse Practitioner
- Seattle, WA
National Provider Identifier
1619360690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP60528079
- Practice address
- 12317 15TH Ave NE
103
Seattle, WA 98125-4871 - Phone
- (206) 957-1881
- NPI assigned
- Mar 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP60528079 | WA | Primary |
Addresses
Primary practice location
12317 15TH Ave NE
103
Seattle, WA 98125-4871
Mailing address
12317 15TH Ave NE
103
Seattle, WA 98125-4871
Phone (206) 957-1881
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60528079 | WA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426291200000",
"number": "1619360690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12317 15TH AVE NE",
"address_2": "103",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254871",
"telephone_number": "206-957-1881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12317 15TH AVE NE",
"address_2": "103",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254871",
"telephone_number": "206-957-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "PING",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-14",
"last_updated": "2015-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP60528079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.