Active NPI
Yu-Ting Angelina Kong, H.I.S.
- Hearing Instrument Specialist
- Lynnwood, WA
National Provider Identifier
1942722467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- License
- 60736242
- Practice address
- 16521 13TH Ave W Ste 109
Lynnwood, WA 98037-8530 - Phone
- (206) 235-0993
- NPI assigned
- Jul 17, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 60736242 | WA | Primary |
Addresses
Primary practice location
16521 13TH Ave W Ste 109
Lynnwood, WA 98037-8530
Mailing address
713 170TH PL SW
Lynnwood, WA 98037-3340
Other practice location 1
7601 Evergreen Way Ste B8
Everett, WA 98203-6433
Phone (425) 202-1846
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60736242 | WA | MD | Hearing Instrument Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1942722467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 170TH PL SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980373340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16521 13TH AVE W STE 109",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980378530",
"telephone_number": "206-235-0993"
}
],
"practiceLocations": [
{
"address_1": "7601 Evergreen Way Ste B8",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982036433",
"country_code": "US",
"telephone_number": "425-202-1846",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONG",
"first_name": "YU-TING",
"middle_name": "ANGELINA",
"credential": "H.I.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": "WA",
"license": "60736242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.