Active NPI
Suzanne K Bladek, APRN, BC
- Adult Health Nurse Practitioner
- Shoreline, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30003959
- Practice address
- 355 NW Richmond Beach Rd
Shoreline, WA 98177-3101 - Phone
- (206) 546-5181
- Fax
- (206) 546-6575
- NPI assigned
- Sep 21, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30003959 | WA | Primary |
Addresses
Primary practice location
355 NW Richmond Beach Rd
Shoreline, WA 98177-3101
Mailing address
355 NW Richmond Beach Rd
Shoreline, WA 98177-3101
Phone (206) 546-5181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9619313 | Medicaid | WA | |
| P00420668 | Other | WA | RAILROAD MEDICARE |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
- Evergreenhealth Home Care Services
- University of Washington Medical Ctr
- Swedish Edmonds Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Current | Accepting new patients |
Locations
24360 Van Ry Blvd
Ste 111
Mountlake Terrace, WA 98043
Phone (425) 275-5555
1455 NW Leary Way
Ste 350
Seattle, WA 98107
Phone (206) 782-3383
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
10330 Meridian Ave N
Ste 200
Seattle, WA 98133
Phone (206) 368-6644
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Interoperability endpoints
- sbladek102384@direct.ehre.uwmedicine.org
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Kirkland, WA
- NPI 1588662761
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1033218797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "355 NW RICHMOND BEACH RD",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981773101",
"telephone_number": "206-546-5181",
"fax_number": "206-546-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 NW RICHMOND BEACH RD",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981773101",
"telephone_number": "206-546-5181",
"fax_number": "206-546-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLADEK",
"first_name": "SUZANNE",
"middle_name": "K",
"credential": "APRN, BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30003959",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9619313",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00420668",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.
- 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.