Individual provider Active NPI

Wendy N Soh

  • Psychiatric/Mental Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1932454535
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
NP1046169 Issued in DC
Practice address
7826 Eastern Ave NW Ste 206
Washington, DC 20012-1333
Phone
(202) 810-5454
Fax
(202) 810-4143
NPI assigned
Jul 19, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP1046169 DC Primary
Registered Nurse 163W00000X RN1046169 DC
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X NP1046169 DC
Home Health Aide 374U00000X

Addresses

Primary practice location

7826 Eastern Ave NW Ste 206
Washington, DC 20012-1333

Mailing address

7826 Eastern Ave NW Ste 206
Washington, DC 20012-1333
Phone (301) 221-3036

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20230711004396 DC Practitioner - Nurse Practitioner 1557731452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sunflower Health Care ResourcesGroup PAC ID 1759751654, 3 clinicians

Practice addresses (Care Compare)

7826 Eastern Ave NW
Suite 206
Washington, DC 20012-1333
Phone (202) 998-5265

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1046169DCMDRegistered Nurse
NP1046169DCMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Health Care Resources CurrentSince Sep 30, 2022 Accepting new patients

Locations

7826 Eastern Ave NW
Ste 206
Washington, DC 20012
Phone (202) 810-5454

Organizations & group practices 1

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": "1342656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1932454535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW STE 206",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121333",
            "telephone_number": "301-221-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7826 EASTERN AVE NW STE 206",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200121333",
            "telephone_number": "202-810-5454",
            "fax_number": "202-810-4143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOH",
        "first_name": "WENDY",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-19",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP1046169",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1046169",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "DC",
            "license": "NP1046169",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.