Active NPI
Patricia F Kwok, ARNP
- Nurse Practitioner
- Seattle, WA
National Provider Identifier
1942348628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30003797
- Practice address
- 1221 Madison St
Suite 500
Seattle, WA 98104-3588 - Phone
- (206) 215-5900
- Fax
- (206) 215-2250
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30003797 | WA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN00079552 | WA | |
| Nurse Practitioner | 363L00000X | AP30003797 | WA | Primary |
Addresses
Primary practice location
1221 Madison St
Suite 500
Seattle, WA 98104-3588
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other practice location 1
1909 214th St SE Ste 300
Bothell, WA 98021-4418
Phone (425) 412-7200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9627092 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pkwok1042219@wm.providencedirect.org | Direct | |
| Direct Messaging Address | pkwok1042219@wm.providencedirect.org | Direct |
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1942348628",
"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": "1221 MADISON ST",
"address_2": "SUITE 500",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043588",
"telephone_number": "206-215-5900",
"fax_number": "206-215-2250"
}
],
"practiceLocations": [
{
"address_1": "1909 214th St SE Ste 300",
"address_purpose": "LOCATION",
"city": "Bothell",
"state": "WA",
"postal_code": "980214418",
"country_code": "US",
"telephone_number": "425-412-7200",
"fax_number": "425-412-7350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KWOK",
"first_name": "PATRICIA",
"middle_name": "F",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30003797",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "RN00079552",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30003797",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9627092",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkwok1042219@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1221 Madison St",
"address_2": "Suite 500",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981043588",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkwok1042219@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1909 214th St SE Ste 300",
"city": "Bothell",
"state": "WA",
"country_code": "US",
"postal_code": "980214418",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.