Individual provider Active NPI

Sokha Sophie Bo, RN

  • Registered Nurse
  • Seattle, WA
National Provider Identifier
1871077370
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN60775995 Issued in WA
Practice address
3921 Linden Ave N
Seattle, WA 98103-7803
Phone
(206) 252-6017
Fax
(206) 743-3108
NPI assigned
Sep 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60775995 WA Primary

Addresses

Primary practice location

3921 Linden Ave N
Seattle, WA 98103-7803

Mailing address

3921 Linden Ave N
Seattle, WA 98103-7803
Phone (206) 252-6017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN60775995WAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1871077370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 LINDEN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037803",
            "telephone_number": "206-252-6017",
            "fax_number": "206-743-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 LINDEN AVE N",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981037803",
            "telephone_number": "206-252-6017",
            "fax_number": "206-743-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BO",
        "first_name": "SOKHA",
        "middle_name": "SOPHIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-20",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60775995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.