Individual provider Active NPI

Stanley Kong, ARNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1902289754
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60577140 Issued in WA
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

Updated by the provider on Sep 2, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, SD, MT, AK, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20151102001505 WA Practitioner - Nurse Practitioner 4880904994 Reassigns benefits to 3 organizations
I20250114000709 SD Practitioner - Nurse Practitioner 4880904994 Reassigns benefits to 1 organization
I20250128001908 MT Practitioner - Nurse Practitioner 4880904994 Reassigns benefits to 1 organization
I20250213002602 AK Practitioner - Nurse Practitioner 4880904994 Reassigns benefits to 1 organization
I20250310001589 CA Practitioner - Nurse Practitioner 4880904994 Reassigns benefits to 1 organization

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
Frontier Psychiatry PLLCGroup PAC ID 7315378874, 33 clinicians

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

LicenseStateTypeSpecialty
RN60273550WAMDRegistered Nurse
AP60577140WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Telecare California, P.C. Nurse Practitioner CurrentSince Sep 16, 2023 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Dec 5, 2018 Accepting new patients
Access Telecare, PLLC Nurse Practitioner CurrentSince Jan 26, 2023 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 CurrentSince Dec 5, 2018 Accepting new patients
Frontier Psychiatry, PLLC CurrentSince Jan 8, 2025 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

  • Direct secure messaging: stanley.kong.1@29777.direct.athenahealth.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.