Individual provider Active NPI

Jade Aimee Ngoc Nguyen, DNP, ARNP, FNP-BC

  • Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1659088813
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61593983 Issued in WA
Practice address
1231 144TH PL SW
Lynnwood, WA 98087-6021
Phone
(206) 859-7350
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN61207035 WA
Nurse Practitioner 363L00000X AP61593983 WA Primary

Addresses

Primary practice location

1231 144TH PL SW
Lynnwood, WA 98087-6021

Mailing address

1200 Intrepid Ave
Philadelphia, PA 19112-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241017001364 WA Practitioner - Nurse Practitioner 1850823691 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Corner Health Medical Group P aGroup PAC ID 5799223236, 36 clinicians

Practice addresses (Care Compare)

1201 2ND Ave
Suite 900
Seattle, WA 98101-3020
Phone (480) 530-6170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Feb 6, 2025 Accepting new patients
Corner Health Medical Group P a CurrentSince Oct 19, 2025 Accepting new patients
Multicare Health System CurrentSince Sep 27, 2024 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Sep 27, 2024 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

312 Arizona Ave
Ste 314
Santa Monica, CA 90401

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

817 Pioneer Ave
Cashmere, WA 98815
Phone (509) 782-1215

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1201 2nd Ave
Ste 900
Seattle, WA 98101
Phone (206) 801-1621

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1659088813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 INTREPID AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191121229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 144TH PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980876021",
            "telephone_number": "206-859-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JADE",
        "middle_name": "AIMEE NGOC",
        "credential": "DNP, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-08-08",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61207035",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61593983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.