Individual provider Active NPI

Samira Shokati, ARNP

  • Family Nurse Practitioner
  • Woodinville, WA
National Provider Identifier
1063181998
Registry record updated Aug 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61349892 Issued in WA
Practice address
13110 NE 177TH PL Ste B102
Woodinville, WA 98072-5742
Phone
(425) 900-2872
Fax
(866) 341-1092
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61349892 WA Primary

Addresses

Primary practice location

13110 NE 177TH PL Ste B102
Woodinville, WA 98072-5742

Mailing address

24109 Florence Acres Rd
Monroe, WA 98272-9262
Phone (206) 604-8911

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221018002195 WA Practitioner - Nurse Practitioner 3375919285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13110 NE 177TH PL
Suite B102
Woodinville, WA 98072-5742
Phone (425) 900-2872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61349892WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Nurse Practitioner CurrentSince Nov 1, 2022 Accepting new patients
Lynn Albertson Arnp PS CurrentSince Oct 1, 2023 Accepting new patients
Kirkland Health & Wellness PLLC Nurse Practitioner CurrentSince Oct 8, 2023 Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3600 Lind Ave SW
Ste 100
Renton, WA 98057

14410 SE Petrovitsky Rd
Ste 104
Renton, WA 98058
Phone (425) 656-4242

13110 NE 177th Pl
Ste B102
Woodinville, WA 98072
Phone (425) 415-8300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5529/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754697600000",
    "number": "1063181998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24109 FLORENCE ACRES RD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982729262",
            "telephone_number": "206-604-8911",
            "fax_number": "866-341-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 NE 177TH PL STE B102",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980725742",
            "telephone_number": "425-900-2872",
            "fax_number": "866-341-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKATI",
        "first_name": "SAMIRA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61349892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodinville, WA

Sources for this page

Verify at the official NPI Registry.