Active NPI
Emily Chao Wong, NP-C
- Nurse Practitioner
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60776220
- Practice address
- 4201 Rucker Ave
Everett, WA 98203-2215 - Phone
- (425) 382-4000
- NPI assigned
- Oct 17, 2013
- Last updated
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60776220 | WA | Primary |
| Naturopath | 175F00000X | NT60402553 | WA |
Addresses
Primary practice location
4201 Rucker Ave
Everett, WA 98203-2215
Mailing address
200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone (562) 435-3666
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NT60402553 | WA | MD | Naturopath |
| AP60776220 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Molina Healthcare of Washington, Inc | Current | Accepting new patients |
Locations
200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727
4201 Rucker Ave
Everett, WA 98203
Phone (425) 382-4000
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
Interoperability endpoints
- emily.wong.1@32512.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1861820425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 OCEANGATE STE 100",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908024317",
"telephone_number": "562-435-3666",
"fax_number": "562-276-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4201 RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032215",
"telephone_number": "425-382-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONG",
"first_name": "EMILY",
"middle_name": "CHAO",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-17",
"last_updated": "2021-08-06",
"certification_date": "2021-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60776220",
"primary": true
},
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "WA",
"license": "NT60402553",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.