Individual provider Active NPI

Joanne E Bastille, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Snoqualmie, WA
National Provider Identifier
1093368656
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61679998 Issued in WA
Practice address
8226 Bracken PL SE Ste 200
Snoqualmie, WA 98065-2935
Phone
(425) 434-1799
NPI assigned
Jul 22, 2019
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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 Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200128000490 FL Practitioner - Nurse Practitioner 2668807348 Reassigns benefits to 1 organization
Practice locations: Tampa, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003357FLMDPsychiatric/Mental Health Nurse Practitioner
AP61679998WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VMD Primary Providers Central Florida PLLC CurrentSince Dec 13, 2021 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

Organizations & group practices 2

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": "1563753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1093368656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 BRACKEN PL SE STE 200",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980652935",
            "telephone_number": "425-434-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 BRACKEN PL SE STE 200",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980652935",
            "telephone_number": "425-434-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTILLE",
        "first_name": "JOANNE",
        "middle_name": "E",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61679998",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003357",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11003357",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61679998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snoqualmie, WA

Sources for this page

Verify at the official NPI Registry.