Active NPI
Annie Lynda Houendjou Badjio
- Family Nurse Practitioner
- Seattle, WA
National Provider Identifier
1013635614
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61346349
- Practice address
- 531 Queen Anne Ave N
Seattle, WA 98109-4521 - Phone
- (206) 284-7286
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | AP61346349 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61346349 | WA | Primary |
Addresses
Primary practice location
531 Queen Anne Ave N
Seattle, WA 98109-4521
Mailing address
2904 83Rd Avenue CT E
Edgewood, WA 98371-5598
Phone (508) 333-1543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61346349 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bastion Health PC | Family Medicine | Current | Accepting new patients |
Locations
6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448
1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- annie.lynda.houendjou.badjio.1@24259.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Tukwila, WA
- NPI 1750921193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666051200000",
"number": "1013635614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2904 83RD AVENUE CT E",
"city": "EDGEWOOD",
"state": "WA",
"postal_code": "983715598",
"telephone_number": "508-333-1543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 QUEEN ANNE AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094521",
"telephone_number": "206-284-7286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUENDJOU BADJIO",
"first_name": "ANNIE LYNDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-10-18",
"certification_date": "2022-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "AP61346349",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61346349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.