GEOFFREY FONG (NPI# 1376885590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376885590 |
| Entity Type | Individual |
| Full Name | GEOFFREY FONG |
| Credential | ARNP |
| Practice Address |
2719 E Madison St Ste 300 Seattle WA 98112-4752 |
| Mailing Address |
33305 1st Way S Ste B203 Federal Way WA 98003-6259 |
| Practice Telephone | 2066694336 |
| Mailing Telephone | 2532355956 |
| Mailing Fax Number | 2532355957 |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2019-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60627347 | WA | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP60627373 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10740 Meridian Ave N Ste 102, Seattle, WA 981339010 | 2064665649 | |
| 33305 1st Way S Ste B203, Federal Way, WA 980036259 | 2532355956 | 2532355957 |
| 599 Canal St, Lawrence, MA 018401244 | 9786868202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659539534 | Geoffrey Mun Fong | Physical Therapist | 1200 El Camino Real, South San Francisco, CA 94080-3208 | 2008-05-28 |
| Street Address |
2719 E MADISON ST STE 300 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609049071 | Nicholas Tsvi Weiss | Psychiatry & Neurology | 2719 E Madison St Ste 300, Seattle, WA 98112-4752 | 2008-04-08 |
| 1265080824 | Molly Bosch | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112-4752 | 2019-08-27 |
| 1033621818 | Virginia Paige Jones | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112-4752 | 2017-11-01 |
| 1922527399 | Joseph Nelson | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112-4752 | 2017-09-16 |
| 1861919037 | Sarah Scott Dyrhaug | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112 | 2017-08-28 |
| 1659820991 | Kelsey Wallach | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112-4752 | 2016-09-28 |
| 1477002715 | Lawrence Richards Iv | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112 | 2016-09-28 |
| 1609234830 | Sarah Burdell | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112-4752 | 2016-02-02 |
| 1396101242 | Rona Polizano | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112-4752 | 2016-01-07 |
| 1295134146 | Brittany Seabury Bacon | Counselor | 2719 E Madison St Ste 300, Seattle, WA 98112-4752 | 2014-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548871007 | Holly Jean Irvin | Nurse Practitioner | 701 5th Ave N Unit 323, Seattle, WA 98109-5100 | 2020-08-10 |
| 1164080602 | Abigail Bracken | Nurse Practitioner | 2713 S Elmwood Pl, Seattle, WA 98144-3131 | 2019-05-30 |
| 1447813589 | Maria Elena Ovalles Van Gaver | Nurse Practitioner | 1604 14th Ave, Seattle, WA 98122-4026 | 2019-04-15 |
| 1043788292 | Zechariah T Thiry | Nurse Practitioner | 1600 2nd Ave Apt 811, Seattle, WA 98101-3278 | 2018-11-06 |
| 1124503974 | Katrina Korreckt | Nurse Practitioner | 135 Nw 76th St, Seattle, WA 98117-3016 | 2018-09-27 |
| 1275011470 | Amber Lynn Hawkins | Nurse Practitioner | 11531 Bartlett Ave Ne, Seattle, WA 98125-5832 | 2018-07-31 |
| 1346748985 | Thu Van Nguyen | Nurse Practitioner | 317 Ne Thornton Pl Ste 10a, Seattle, WA 98125-8020 | 2018-01-29 |
| 1356860886 | Taylor Donovan | Nurse Practitioner | 509 Olive Way Ste 752, Seattle, WA 98101-3171 | 2017-09-15 |
| 1215454574 | Shannon Duffy | Nurse Practitioner | 12704 76th Ave S, Seattle, WA 98178-4811 | 2017-08-28 |
| 1215458674 | Melissa Mary Fessel | Nurse Practitioner | 601 Broadway Ste 600, Seattle, WA 98122-5330 | 2017-07-06 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.