Individual provider Active NPI

Lisa Maria Ramirez, ANP-BC

  • Adult Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1104106640
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60246950 Issued in WA
Practice address
1330 Rockefeller Ave Ste 210
Everett, WA 98201
Phone
(425) 261-4940
Fax
(425) 261-4932
NPI assigned
Aug 26, 2011
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60246950 WA
Adult Health Nurse Practitioner 363LA2200X AP60246950 WA Primary

Addresses

Primary practice location

1330 Rockefeller Ave Ste 210
Everett, WA 98201

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone (866) 474-2455

Other practice location 1

10564 5th Ave NE
Suite 201
Seattle, WA 98125-7200
Phone (206) 367-1222

Other practice location 2

10564 5th Ave NE
Suite 201
Seattle, WA 98125-7200
Phone (206) 367-1222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lramirez556746@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20111003000748 WA Practitioner - Nurse Practitioner 0648442244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

1550 N 115TH St
Seattle, WA 98133-8401
Phone (206) 364-0500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60246950WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians CurrentSince Jan 4, 2021 Accepting new patients
Providence Health & Services- Washington CurrentSince Feb 1, 2019 Accepting new patients
Providence Health & Services - Washington CurrentSince Feb 1, 2019 Accepting new patients

Locations

1330 Rockefeller Ave
Ste 210
Everett, WA 98201
Phone (425) 261-4940

1919 112th St SW
Everett, WA 98204
Phone (425) 249-0024

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

820 NW 95th St
Seattle, WA 98117
Phone (206) 781-6800

1550 N 115th St
Shoreline, WA 98133
Phone (206) 364-0500

Interoperability endpoints

  • Direct secure messaging: lramirez1299701@direct.ehre.uwmedicine.org
  • Direct secure messaging: lramirez556746@wm.providencedirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1104106640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-474-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ROCKEFELLER AVE STE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-261-4940",
            "fax_number": "425-261-4932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10564 5th Ave NE",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981257200",
            "country_code": "US",
            "telephone_number": "206-367-1222",
            "fax_number": "206-364-2664",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10564 5th Ave NE",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981257200",
            "country_code": "US",
            "telephone_number": "206-367-1222",
            "fax_number": "206-364-2664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMIREZ",
        "first_name": "LISA",
        "middle_name": "MARIA",
        "credential": "ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60246950",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60246950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lramirez556746@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1330 Rockefeller Ave Ste 210",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.