Organization Active NPI

Hummel Women'S Health

  • Women's Health Nurse Practitioner
  • Edmonds, WA
National Provider Identifier
1003247214
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP30003284 Issued in WA
Legal business name
HUMMEL WOMEN'S HEALTH
Practice address
555 Dayton St Ste A3
Edmonds, WA 98020-3647
Phone
(425) 670-3710
Fax
(425) 670-3711
NPI assigned
Dec 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Cathy R Schroeder
Title
Authorized Official
Phone
(425) 670-3710

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X AP30003284 WA Primary

Addresses

Primary practice location

555 Dayton St Ste A3
Edmonds, WA 98020-3647

Mailing address

555 Dayton St Ste A3
Edmonds, WA 98020-3647
Phone (425) 670-3710

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hummelwomenshealth@gmail.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140401001375 WA Part B Supplier - Clinic/Group Practice 5395976559 Receives reassigned benefits from 1 practitioner
Practice locations: Edmonds, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2069209Hummel Women'S Health555 Dayton St Ste A3, Edmonds, WA 98020Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

600 Main St
Ste E
Edmonds, WA 98020
Phone (425) 670-3710

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1003247214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 DAYTON ST STE A3",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203647",
            "telephone_number": "425-670-3710",
            "fax_number": "425-670-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 DAYTON ST STE A3",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980203647",
            "telephone_number": "425-670-3710",
            "fax_number": "425-670-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMMEL WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "SCHROEDER",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "425-670-3710"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30003284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hummelwomenshealth@gmail.com",
            "affiliation": "N",
            "address_1": "555 Dayton St Ste A3",
            "city": "Edmonds",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980203647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.