Individual provider Active NPI

Wai Kwan Kam

  • Nurse Practitioner
  • Bothell, WA
National Provider Identifier
1730868076
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61461830 Issued in WA
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

Updated by the provider on Jul 13, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230808003996 WA Practitioner - Nurse Practitioner 1850753815 Reassigns benefits to 3 organizations

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
Post Acute Medical PLLCGroup PAC ID 5193156115, 433 clinicians

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

LicenseStateTypeSpecialty
AP61461830WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients
Post Acute Medical PLLC CurrentSince Oct 26, 2023 Accepting new patients
Post Acute Rehabilitation Physicians LLC CurrentSince Jul 12, 2023 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.

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

Verify at the official NPI Registry.