Individual provider Active NPI

Camhong T Tran, ARNP

  • Nurse Practitioner
  • Federal Way, WA
National Provider Identifier
1679524359
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30006996 Issued in WA
Practice address
34520 16TH Ave S
Federal Way, WA 98003-6802
Phone
(253) 838-1500
NPI assigned
May 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN539797 CA
Acute Care Nurse Practitioner 363LA2100X AP30006996 WA
Nurse Practitioner 363L00000X AP30006996 WA Primary
Family Nurse Practitioner 363LF0000X AP30006996 WA

Addresses

Primary practice location

34520 16TH Ave S
Federal Way, WA 98003-6802

Mailing address

34520 16TH Ave S
Federal Way, WA 98003-6802
Phone (253) 838-1500

Other identifiers 1

IdentifierTypeStateIssuer
9648874MedicaidWA

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
I20060828000538 WA Practitioner - Nurse Practitioner 1557365830 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

222 State Ave N
Kent, WA 98030-4544
Phone (253) 372-7788

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN539797CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Oct 1, 2012 Accepting new patients
Multicare Health System Nurse Practitioner CurrentSince Oct 1, 2012 Accepting new patients
Multicare Health System Current Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients
Auburn Regional Medical Group Past Accepting new patients
Lake Washington Vascular PLLC PastSince Oct 1, 2000 Accepting new patients
Auburn Regional Medical Group Past Accepting new patients
Overlake Medical Clinics, LLC Past Accepting new patients

Locations

34520 16th Ave S
Federal Way, WA 98003
Phone (253) 656-0223

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

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: ctran109417@direct.multicare.org

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349395200000",
    "number": "1679524359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34520 16TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036802",
            "telephone_number": "253-838-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34520 16TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036802",
            "telephone_number": "253-838-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "CAMHONG",
        "middle_name": "T",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-15",
        "last_updated": "2012-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN539797",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP30006996",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006996",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9648874",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.