Eva Faye Dee Hiatt

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

AP30004647 Issued in WA

Legal business name

EVA FAYE DEE HIATT

Practice address

4957 Lakemont Blvd
Suite C-4 Box #202
Bellevue, WA 98006

Phone

(425) 746-7068

Fax

(425) 649-2057

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Eva Faye Dee Hiatt, ARNPNPI 1417085390

Title

Owner Practioner

Phone

(253) 631-2380

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

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

• Evafaye Dee Hiatt, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, WA
  • NPI 1417085390

  Psychiatric/Mental Health, WA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1043348006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16720 SE 271ST ST",
            "address_2": "SUITE 202",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980427342",
            "telephone_number": "253-631-2380",
            "fax_number": "425-649-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4957 LAKEMONT BLVD",
            "address_2": "SUITE C-4 BOX #202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-746-7068",
            "fax_number": "425-649-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVA FAYE DEE HIATT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "HIATT",
        "authorized_official_first_name": "EVA FAYE",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "OWNER PRACTIONER",
        "authorized_official_telephone_number": "253-631-2380",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30004647",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "0001133372",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "156388100000",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPS",
            "identifier": "A944372",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "00076444478",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "9472HI",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bellevue, WA
• Psychiatric/Mental Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.