Individual provider Active NPI

Yu-Ting Angelina Kong, H.I.S.

  • Hearing Instrument Specialist
  • Lynnwood, WA
National Provider Identifier
1942722467
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
60736242 Issued in WA
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

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
60736242WAMDHearing 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.

Verify at the official NPI Registry.