Individual provider Active NPI

Rebecca Anne Birdsong, MN, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1053603548
Registry record updated Mar 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60448894 Issued in WA
Practice address
3417 Evanston Ave N
Suite 307
Seattle, WA 98103-8626
Phone
(206) 351-5376
Fax
(844) 324-0802
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60448894 WA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN60105128 WA

Addresses

Primary practice location

3417 Evanston Ave N
Suite 307
Seattle, WA 98103-8626

Mailing address

3417 Evanston Ave N
Suite 307
Seattle, WA 98103-8626
Phone (206) 351-5376

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN60105128WAMDPsychiatric/Mental Health Registered Nurse
AP60448894WAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458086400000",
    "number": "1053603548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N",
            "address_2": "SUITE 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038626",
            "telephone_number": "206-351-5376",
            "fax_number": "844-324-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 EVANSTON AVE N",
            "address_2": "SUITE 307",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981038626",
            "telephone_number": "206-351-5376",
            "fax_number": "844-324-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSONG",
        "first_name": "REBECCA",
        "middle_name": "ANNE",
        "credential": "MN, ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2016-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60448894",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN60105128",
            "primary": false
        }
    ],
    "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 Mar 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.