Active NPI
Andrew D Gudwin, ARNP
- Adult Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1073849923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP60108691
- Practice address
- 325 9TH Ave
Harborview Medical Center Box 359799
Seattle, WA 98104-2420 - Phone
- (206) 744-3090
- Fax
- (206) 744-8649
- NPI assigned
- Oct 28, 2009
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP60108691 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Harborview Medical Center Box 359799
Seattle, WA 98104-2420
Mailing address
13005 8TH Ave NE
Seattle, WA 98125-3974
Phone (305) 582-3090
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Health Trust of Miami Dade County Florida | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba JMG Specialty Physicians
- General Practice Physician
- Miami, FL
- NPI 1134384423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1073849923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13005 8TH AVE NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981253974",
"telephone_number": "305-582-3090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"address_2": "HARBORVIEW MEDICAL CENTER BOX 359799",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-744-3090",
"fax_number": "206-744-8649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUDWIN",
"first_name": "ANDREW",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-28",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60108691",
"primary": true
}
],
"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 Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.