Active NPI
Rebecca Anne Birdsong, MN, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1053603548
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60448894
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RN60105128 | WA | MD | Psychiatric/Mental Health Registered Nurse |
| AP60448894 | WA | MD | Psychiatric/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.