Individual provider Active NPI

Joshua Michael Webb, RN, MSN, ARNP

  • Family Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1063405017
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30006052 Issued in WA
Practice address
3501 Shelby Rd
Suite B
Lynnwood, WA 98087-3599
Phone
(425) 742-9119
Fax
(425) 787-1055
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00142219 WA
Family Nurse Practitioner 363LF0000X AP30006052 WA Primary

Addresses

Primary practice location

3501 Shelby Rd
Suite B
Lynnwood, WA 98087-3599

Mailing address

3501 Shelby Rd
Suite B
Lynnwood, WA 98087-3599
Phone (425) 742-9119

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
I20130530000548 WA Practitioner - Nurse Practitioner 4082863782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Vanderbilt University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Washington Medical Group Inc PSGroup PAC ID 7517870314, 111 clinicians

Practice addresses (Care Compare)

3501 Shelby Rd
Suite B
Lynnwood, WA 98087-3599
Phone (425) 259-4041

4225 Hoyt Ave
Everett, WA 98203-2351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS Current Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Apr 1, 2013 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Apr 1, 2013 Accepting new patients
Western Washington Medical Group, Inc PS Past Accepting new patients

Locations

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

3501 Shelby Rd
Ste B
Lynnwood, WA 98087
Phone (425) 259-4041

629 Avenue D
Snohomish, WA 98290
Phone (360) 568-1551

Interoperability endpoints

  • Direct secure messaging: jwebb726892@direct.multicare.org

Organizations & group practices 4

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1063405017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 SHELBY RD",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873599",
            "telephone_number": "425-742-9119",
            "fax_number": "425-787-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SHELBY RD",
            "address_2": "SUITE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980873599",
            "telephone_number": "425-742-9119",
            "fax_number": "425-787-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JOSHUA",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RN, MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00142219",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.