Active NPI
Wenjia Song, ARNP
- Family Nurse Practitioner
- Sammamish, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP 60406859
- Practice address
- 22707 SE 29TH St
Sammamish, WA 98075-9532 - Phone
- (425) 392-3961
- NPI assigned
- Jul 25, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN 60009346 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP 60406859 | WA | Primary |
Addresses
Primary practice location
22707 SE 29TH St
Sammamish, WA 98075-9532
Mailing address
22707 SE 29TH St
Sammamish, WA 98075-9532
Phone (425) 455-2845
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, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
22707 SE 29TH St
Sammamish, WA 98075-9532
Phone (425) 455-2845
2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364
Hospital & facility affiliations
- Swedish Issaquah
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 60009346 | WA | MD | Registered Nurse |
| AP 60406859 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Registered Nurse | Current | Accepting new patients |
Locations
751 NE Blakely Dr
Ste 4020
Issaquah, WA 98029
Phone (425) 313-7077
22707 SE 29th St
Sammamish, WA 98075
Phone (425) 455-2845
600 University St
Ste 1200
Seattle, WA 98101
Phone (206) 320-2568
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
Organizations & group practices 2
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.
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612396800000",
"number": "1871901546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22707 SE 29TH ST",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759532",
"telephone_number": "425-455-2845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22707 SE 29TH ST",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980759532",
"telephone_number": "425-392-3961"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONG",
"first_name": "WENJIA",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-25",
"last_updated": "2021-02-04",
"certification_date": "2021-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN 60009346",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP 60406859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.
- 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.