Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gaeun Song

Individual provider Family Nurse Practitioner · NPI 1164259933

Gaeun Song is a Nurse Practitioner in Edmonds, Washington. Qualified in 2024, 2 years ago. Practices with Joo Family Clinic LLC, a 2-clinician group. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024

Practice location Address checks out

22618 Highway 99
Edmonds, WA 98026-8395
Phone: (425) 409-9247
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP61607371 (WA)

Record details

NPI number1164259933
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2024
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Joo Family Clinic Llc — 2 clinicians
Accepts Medicare assignment Not indicated

Other providers in Edmonds