Individual provider Active NPI

Sharon K Jung, ARNP

  • Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1699770628
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30004757 Issued in WA
Practice address
5006 Center St Ste U
Tacoma, WA 98409-2314
Phone
(253) 284-4488
Fax
(253) 272-4771
NPI assigned
Jun 16, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30004757 WA Primary

Addresses

Primary practice location

5006 Center St Ste U
Tacoma, WA 98409-2314

Mailing address

5006 Center St Ste U
Tacoma, WA 98409-2314
Phone (253) 284-4488

Other identifiers 1

IdentifierTypeStateIssuer
JU8173OtherREGENCE BS

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
I20040415000800 WA Practitioner - Nurse Practitioner 5799770244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Puget Sound Neurology, PLLCGroup PAC ID 4486789427, 4 clinicians

Practice addresses (Care Compare)

5006 Ctr St
Suite U
Tacoma, WA 98409-2314
Phone (253) 284-4488

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Puget Sound Neurology, PLLC Nurse Practitioner CurrentSince Jan 1, 2010 Accepting new patients
Patrick J. Hogan III, D.O. PastSince Mar 12, 2024 Accepting new patients

Locations

2201 S 19th St
Ste 200
Tacoma, WA 98405
Phone (253) 284-4488

5006 Center St
Ste U
Tacoma, WA 98409
Phone (253) 284-4488

Interoperability endpoints

  • Direct secure messaging: sharon.jung.1@29018.direct.athenahealth.com

Organizations & group practices 2

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1699770628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST STE U",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092314",
            "telephone_number": "253-284-4488",
            "fax_number": "253-272-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 CENTER ST STE U",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984092314",
            "telephone_number": "253-284-4488",
            "fax_number": "253-272-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SHARON",
        "middle_name": "K",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-16",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30004757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "JU8173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.