SE Won Min

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP60909295 Issued in WA

Practice address

4060 138TH Ave SE
Bellevue, WA 98006-1431

Phone

(425) 636-0304

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Hanmin Corporation

  dba Somerset Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bellevue, WA
  • NPI 1972113165
  NPD Authorized official
• Penny Leah Tanner, P.S.

  dba Aim Behavioral Health Specialists

  • Psychiatric/Mental Health Nurse Practitioner
  • Eatonville, WA
  • NPI 1396390845
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1720646771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 138TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061431",
            "telephone_number": "425-636-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 138TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061431",
            "telephone_number": "425-636-0304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6545 SE Cougar Mountain Way",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980065616",
            "country_code": "US",
            "telephone_number": "425-681-6653",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7424 Bridgeport Way W Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "98499",
            "country_code": "US",
            "telephone_number": "253-581-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7424 Bridgeport Way W Ste 302",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "98499",
            "country_code": "US",
            "telephone_number": "253-581-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9116 Gravelly Lake Dr SW Ste 107",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WA",
            "postal_code": "984993148",
            "country_code": "US",
            "telephone_number": "253-581-6106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIN",
        "first_name": "SE WON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60909295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia M Milunovich, MA
• Dana Michelle Vetter Min, DDS
• Deborah Yong-Hyun Min, DC, MSAOM
• George Guiho Min, M.D.
• In Jeong Min, DDS
• Eiji Minami, MD
• Mind Links Consulting PLLC
• Mackenzie Minehan, MD
• Grace Adina Miner
• Travis William Miner

• Psychiatric/Mental Health Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.