Joanne E Bastille, APRN
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Snoqualmie, WA
NPI 1093368656 · NPPES record last updated Nov 18, 2025
Key facts
- NPI
- 1093368656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP61679998 (WA)
- Practice address
- 8226 Bracken PL SE Ste 200
Snoqualmie, WA 98065-2935 - Phone
- (425) 434-1799
- NPI assigned
- Jul 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200128000490 | FL | Practitioner - Nurse Practitioner | 2668807348 |
Reassigns benefits to 1 organization Practice locations: Tampa, FL |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61679998 | WA | MD | Family Nurse Practitioner |
| 11003357 | FL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VMD Primary Providers Central Florida PLLC | Current |
Accepting new patients | |
| Courtney Bell, PLLC | Past | Accepting new patients |
Locations
1060 Woodcock Rd
Ste 128
Orlando, FL 32803
Phone (346) 980-2725
5601 N Hiawassee Rd
Orlando, FL 32818
Phone (321) 294-0611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61679998 | WA | |
| Family Nurse Practitioner | 363LF0000X | 11003357 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11003357 | FL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61679998 | WA | Yes |
Addresses
Primary practice location
8226 Bracken PL SE Ste 200
Snoqualmie, WA 98065-2935
Mailing address
8226 Bracken PL SE Ste 200
Snoqualmie, WA 98065-2935
Phone (425) 434-1799
Other providers in Snoqualmie, WA
- Robin Backstrom
- Andrew Philip Bair
- Audrey Rose Baker
- Christine Laura Banks
- Kelly Anne Barton
- Be OT, PLLC
- Barbara W Beattie
- Beehave Academy
- Beehave Academy
- Courtney Bell
All providers in Snoqualmie, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.