Individual provider Active NPI

Elizabeth Claire Zaroff

  • Nurse Practitioner
  • Silverdale, WA
National Provider Identifier
1073033965
Registry record updated Sep 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60776853 Issued in WA
Practice address
3100 NW Bucklin Hill Rd Ste 202
Silverdale, WA 98383-8362
Phone
(360) 377-3776
NPI assigned
Jun 22, 2017
Last updated
Sep 28, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60776853 WA Primary
Family Nurse Practitioner 363LF0000X AP60776853 WA

Addresses

Primary practice location

3100 NW Bucklin Hill Rd Ste 202
Silverdale, WA 98383-8362

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908

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
I20171012002917 WA Practitioner - Nurse Practitioner 1254606544 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60776853WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services CurrentSince Jun 22, 2021 Accepting new patients
Peninsula Community Health Services Nurse Practitioner CurrentSince Jun 22, 2021 Accepting new patients
Peninsula Community Health Services Nurse Practitioner Current Accepting new patients
Peninsula Community Health Services PastSince May 16, 2021 Accepting new patients
Peninsula Community Health Services Nurse Practitioner Past Accepting new patients
Peninsula Community Health Services Past Accepting new patients
Peninsula Community Health Services Nurse Practitioner PastSince Apr 24, 2022 Accepting new patients
Healthpoint Past Accepting new patients

Locations

2508 Wheaton Way
Bremerton, WA 98310
Phone (360) 616-3131

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

8107 Central Valley Rd NE
Bremerton, WA 98311

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

26201 Siyaya Ave NE
Rm 121
Kingston, WA 98346

2150 Fircrest Dr SE
Rm G1
Port Orchard, WA 98366

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

19917 7th Ave NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-7636

3100 NW Bucklin Hill Rd
Ste 202
Silverdale, WA 98383
Phone (360) 377-3773

7607 NW Newberry Hill Rd
Silverdale, WA 98383
Phone (360) 475-6700

Interoperability endpoints

  • Direct secure messaging: elizabeth.zaroff.1@13902.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1073033965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD STE 202",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838362",
            "telephone_number": "360-377-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAROFF",
        "first_name": "ELIZABETH",
        "middle_name": "CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60776853",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60776853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.