Active NPI
Barbara G Hallum, ARNP
- Nurse Practitioner
- Kirkland, WA
National Provider Identifier
1093823544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30001999
- Practice address
- 12333 NE 130TH LN
#302
Kirkland, WA 98034-7467 - Phone
- (425) 899-0555
- Fax
- (425) 899-1333
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30001999 | WA | Primary |
Addresses
Primary practice location
12333 NE 130TH LN
#302
Kirkland, WA 98034-7467
Mailing address
12333 NE 130TH LN
#320
Kirkland, WA 98034-3039
Phone (425) 899-0555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9607250 | Medicaid | WA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1093823544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12333 NE 130TH LN",
"address_2": "#320",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343039",
"telephone_number": "425-899-0555",
"fax_number": "425-899-1333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12333 NE 130TH LN",
"address_2": "#302",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347467",
"telephone_number": "425-899-0555",
"fax_number": "425-899-1333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLUM",
"first_name": "BARBARA",
"middle_name": "G",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30001999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9607250",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.