Chusuk Song, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN00150305 Issued in WA

Practice address

320 E 32ND St
Unit 205
Tacoma, WA 98404-1609

Phone

(253) 223-1661

Fax

(253) 507-4015

NPI assigned

Nov 6, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1352160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352160000000",
    "number": "1972857472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 32ND ST",
            "address_2": "UNIT 205",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041609",
            "telephone_number": "253-223-1661",
            "fax_number": "253-507-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 32ND ST",
            "address_2": "UNIT 205",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984041609",
            "telephone_number": "253-223-1661",
            "fax_number": "253-507-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONG",
        "first_name": "CHUSUK",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-06",
        "last_updated": "2012-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00150305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Jean Sommer Liddle
• Taylor Alicia Sommer
• Son Bui DMD PLLC
• Brady T Son, MD
• Andy Song, BCBA
• Jamie Song, AU.D.
• Jonathan K Song, D.O.
• Joon Kyung Song, MD
• Samuel Wei-Hua Song, DO
• Serafina Austen Song, M.D.

• Registered Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; 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.