Individual provider Active NPI

Xiang Jing, ARNP

  • Family Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1962898403
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60491304 Issued in WA
Practice address
4545 Point Fosdick Dr # 250
Gig Harbor, WA 98335-1700
Phone
(253) 792-6970
Fax
(253) 530-8124
NPI assigned
Apr 10, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 AP60491304 WA
Family Nurse Practitioner 363LF0000X AP60491304 WA Primary

Addresses

Primary practice location

4545 Point Fosdick Dr # 250
Gig Harbor, WA 98335-1700

Mailing address

PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
Phone (253) 459-8009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20151001003059 WA Practitioner - Nurse Practitioner 6305154865 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1628 S Mildred St
Suite 101
Tacoma, WA 98465-1628
Phone (253) 383-8577

311 S L St
Tacoma, WA 98405-3720

4545 Point Fosdick Dr
Gig Harbor, WA 98335-1700
Phone (253) 530-8011

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System Nurse Practitioner CurrentSince Jul 30, 2021 Accepting new patients
Northwest Spine and Pain Medicine, PLLC CurrentSince Jul 25, 2015 Accepting new patients
Multicare Health System CurrentSince Jul 30, 2021 Accepting new patients
Rare Wellness PastSince Oct 23, 2022 Accepting new patients
Selkirk Interventional Pain Physicians PLLC Past Accepting new patients
Multicare Health System Nurse Practitioner Past Accepting new patients

Locations

4545 Point Fosdick Dr
#250
Gig Harbor, WA 98335
Phone (253) 530-8000

4545 Point Fosdick Dr
Ste 250
Gig Harbor, WA 98335
Phone (253) 267-5755

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

5901 N Lidgerwood St
Ste 218
Spokane, WA 99208
Phone (509) 464-6208

2607 S Southeast Blvd
Bldg A
Spokane, WA 99223
Phone (509) 464-6208

3124 S Regal St
Spokane, WA 99223
Phone (509) 464-6208

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • Direct secure messaging: jbrandt198540@direct.multicare.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1428624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1962898403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299",
            "telephone_number": "253-459-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 POINT FOSDICK DR # 250",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351700",
            "telephone_number": "253-792-6970",
            "fax_number": "253-530-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JING",
        "first_name": "XIANG",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-10",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60491304",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60491304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.