Active NPI
Donna J Delegeane, ARNP
- Family Nurse Practitioner
- Silverdale, WA
National Provider Identifier
1093874372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61031506
- Practice address
- 10452 Silverdale Way NW
Silverdale, WA 98383-9411 - Phone
- (360) 307-7300
- NPI assigned
- Dec 6, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP6534, RN424605 | CA | |
| Family Nurse Practitioner | 363LF0000X | AP61031506 | WA | Primary |
Addresses
Primary practice location
10452 Silverdale Way NW
Silverdale, WA 98383-9411
Mailing address
10452 Silverdale Way NW
Silverdale, WA 98383-9411
Phone (360) 307-7300
Other names 1
- Donna I Johnson
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6534 | CA | MD | Acupuncturist |
| NP6534, RN424605 | CA | MD | Family Nurse Practitioner |
| AP61031506 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David W. Trader, M.D., Inc. | Past | Accepting new patients |
Interoperability endpoints
- ddelegeane237371@ghc.direct-ci.net
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 and National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1093874372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10452 SILVERDALE WAY NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839411",
"telephone_number": "360-307-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10452 SILVERDALE WAY NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839411",
"telephone_number": "360-307-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELEGEANE",
"first_name": "DONNA",
"middle_name": "J",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-06",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP6534, RN424605",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61031506",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "10452 Silverdale Way NW",
"city": "Silverdale",
"state": "WA",
"country_code": "US",
"postal_code": "983839411",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "DONNA",
"last_name": "JOHNSON",
"middle_name": "I",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.