Active NPI
Stanley Kong, ARNP
- Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60577140
- Practice address
- 500 17TH Ave
Seattle, WA 98122-5711 - Phone
- (206) 320-2800
- Fax
- (206) 320-2827
- NPI assigned
- Jun 29, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60577140 | WA | Primary |
| Registered Nurse | 163W00000X | RN60273550 | WA |
Addresses
Primary practice location
500 17TH Ave
Seattle, WA 98122-5711
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other names 1
- Ka Lung Kong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, SD, MT, AK, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
Ferndale, WA 98248
Phone (406) 200-8471
1601 Lewis Ave
Suite 102
Billings, MT 59102-4182
Phone (406) 200-8471
721 Depot Dr
Anchorage, AK 99501-1615
Phone (406) 200-8471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60273550 | WA | MD | Registered Nurse |
| AP60577140 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Telecare California, P.C. | Nurse Practitioner | Current | Accepting new patients |
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Access Telecare, PLLC | Nurse Practitioner | Current | Accepting new patients |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Frontier Psychiatry, PLLC | Current | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations
721 Depot Dr
Anchorage, AK 99501
Phone (201) 293-7689
400 Old River Rd
Bakersfield, CA 93311
Phone (661) 663-6000
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
1601 Lewis Ave
Ste 102
Billings, MT 59102
Phone (406) 690-2171
27 N 27th St
Ste 21E
Billings, MT 59101
Phone (406) 957-7924
1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
4220 132nd St SE
Ste 103
Mill Creek, WA 98012
Phone (425) 225-1210
7356 15th Ave NW
Seattle, WA 98117
500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- stanley.kong.1@29777.direct.athenahealth.com
- skong1042179@wm.providencedirect.org
Organizations & group practices 7
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Neurology Physician
- Dallas, TX
- NPI 1861959959
CA, Nurse Practitioner
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1013303080
Nurse Practitioner, SD, WA
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Critical Access Hospital
- Glasgow, MT
- NPI 1689685323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441152000000",
"number": "1902289754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 17TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225711",
"telephone_number": "206-320-2800",
"fax_number": "206-320-2827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KONG",
"first_name": "STANLEY",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-29",
"last_updated": "2015-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60577140",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60273550",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KA LUNG",
"last_name": "KONG",
"code": "1",
"type": "Former Name"
}
]
}
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 2, 2015; 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.