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Active NPI 1154992121 Individual Practitioner Male Practitioner

Timothy Ahn , NP

Nurse Practitioner - Pediatrics • Bellevue, WA

Professional Overview & Biography Verified Profile Summary

Timothy Ahn, NP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Bellevue, WA. Practice services are available at 15620 NE 21ST ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

15620 Ne 21st St

Bellevue, WA 98008

Telephone 2062108480
Associated Practice Facility / Clinic
🏢 Peaceful Coexistence, Llc Facility NPI 1235747213

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Bellevue, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.5 Yrs
State Avg: 6.2 Yrs
Regional Practice Density
17 Specialists

Practicing in Bellevue, WA (508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-01-18
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License WA AP61193179

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 24, 2023

Registered at 15620 NE 21ST ST, BELLEVUE, WA 98008 (Tel: 2062108480)

📍
Updated Business Mailing Address January 24, 2023

Registered at 4730 UNIVERSITY WAY NE STE 104, SEATTLE, WA 981054424 (Tel: 2062108480)

📍
Updated Practice Location May 14, 2022

Registered at 34709 SE JEFFS ST, SNOQUALMIE, WA 980655021 (Tel: 3179103129)

📍
Updated Business Mailing Address May 14, 2022

Registered at 34709 SE JEFFS ST, SNOQUALMIE, WA 980655021 (Tel: 3179103129)

NPI Profile Active July 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2021

Registered at 4428D 4TH AVE NE, SEATTLE, WA 981056107 (Tel: 3179103129)

📍
Updated Business Mailing Address July 09, 2021

Registered at 4428D 4TH AVE NE, SEATTLE, WA 981056107

👤
Provider Name / Credentials Updated July 09, 2021

Recorded as TIMOTHY AHN, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2021

Nurse Practitioner (License #AP61193179 in WA)

🟢
Initial NPI Registration & Enumeration July 09, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154992121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2021
Last Update: January 24, 2023
Sole Proprietor: Yes

Mailing Address

4730 University Way Ne Ste 104

Seattle, WA 981054424

Phone: 2062108480

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.