Active NPI
Nicole Marie Banks, ARNP
- Pediatrics Physician
- Silverdale, WA
National Provider Identifier
1053976589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- AP60956115
- Practice address
- 9910 Levin Rd NW Ste 200
Silverdale, WA 98383-7789 - Phone
- (360) 692-8588
- Fax
- (360) 692-7030
- NPI assigned
- May 9, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | AP60956115 | WA | Primary |
Addresses
Primary practice location
9910 Levin Rd NW Ste 200
Silverdale, WA 98383-7789
Mailing address
17310 Citori PL NW
Poulsbo, WA 98370-9593
Phone (360) 265-8781
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NA |
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60956115 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silverdale Pediatrics | Pediatrics | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1053976589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17310 CITORI PL NW",
"city": "POULSBO",
"state": "WA",
"postal_code": "983709593",
"telephone_number": "360-265-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9910 LEVIN RD NW STE 200",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983837789",
"telephone_number": "360-692-8588",
"fax_number": "360-692-7030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANKS",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-09",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "AP60956115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NA",
"identifier": "NA",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.