Active NPI
Wai Kwan Kam
- Nurse Practitioner
- Bothell, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61461830
- Practice address
- 707 228TH St SW
Bothell, WA 98021-9733 - Phone
- (425) 481-8500
- NPI assigned
- Jul 13, 2023
- Sex
- Male
- Sole proprietor
- No
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 | AP61461830 | WA | Primary |
Addresses
Primary practice location
707 228TH St SW
Bothell, WA 98021-9733
Mailing address
18 153Rd St SW
Lynnwood, WA 98087-2178
Phone (206) 883-6432
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
502 29TH St SE
Auburn, WA 98002-7532
Phone (877) 883-9430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61461830 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altea Medical Washington PLLC | Current | Accepting new patients | |
| Post Acute Medical PLLC | Current | Accepting new patients | |
| Post Acute Rehabilitation Physicians LLC | Current | Accepting new patients |
Locations
400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297
502 29th St SE
Auburn, WA 98002
Phone (253) 927-6166
11120 NE 33rd Pl
Bellevue, WA 98004
Phone (206) 426-2584
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696
817 Pioneer Ave
Cashmere, WA 98815
Phone (509) 782-1215
4430 Talbot Rd S
Renton, WA 98055
Phone (425) 226-7500
2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200
6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Lanham, MD
- NPI 1730713025
WA
-
- Geriatric Medicine (Internal Medicine) Physician
- Everett, WA
- NPI 1609655497
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
WA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1730868076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 153RD ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980872178",
"telephone_number": "206-883-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 228TH ST SW",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980219733",
"telephone_number": "425-481-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAM",
"first_name": "WAI KWAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-07-13",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61461830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.