Active NPI
Sharon K Jung, ARNP
- Nurse Practitioner
- Tacoma, WA
National Provider Identifier
1699770628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30004757
- Practice address
- 5006 Center St Ste U
Tacoma, WA 98409-2314 - Phone
- (253) 284-4488
- Fax
- (253) 272-4771
- NPI assigned
- Jun 16, 2005
- Last updated
- Mar 6, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30004757 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Puget Sound Neurology, PLLC | Nurse Practitioner | Current | Accepting new patients |
| Patrick J. Hogan III, D.O. | Past | 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
- 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.