Individual provider Active NPI

Sonja H Huebner, ARNP

  • Family Nurse Practitioner
  • Ellensburg, WA
National Provider Identifier
1114259751
Registry record updated Sep 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60101191 Issued in WA
Practice address
716 E Manitoba Ave
Ellensburg, WA 98926
Phone
(509) 925-3151
Fax
(509) 925-4382
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60101191 WA Primary

Addresses

Primary practice location

716 E Manitoba Ave
Ellensburg, WA 98926

Mailing address

716 E Manitoba Ave
Ellensburg, WA 98926-3842
Phone (509) 925-3151

Other identifiers 1

IdentifierTypeStateIssuer
9664251MedicaidWA

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
I20100318000492 WA Practitioner - Nurse Practitioner 9234264029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kittitas Valley Urgent Care PLLC 24 clinicians

Practice addresses (Care Compare)

702 E Mountain View Ave
Suite 1
Ellensburg, WA 98926-3862
Phone (509) 968-5273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas Valley Urgent Care PLLC CurrentSince Feb 1, 2017 Accepting new patients

Locations

702 E Mountain View Ave
#1
Ellensburg, WA 98926
Phone (509) 968-5273

17 E Valley Mall Blvd
Ste 2B
Union Gap, WA 98903
Phone (509) 367-8733

1006 S 64th Ave
Ste 100
Yakima, WA 98908
Phone (509) 955-9248

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1114259751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E MANITOBA AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "989263842",
            "telephone_number": "509-925-3151",
            "fax_number": "509-925-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E MANITOBA AVE",
            "city": "ELLENSBURG",
            "state": "WA",
            "postal_code": "98926",
            "telephone_number": "509-925-3151",
            "fax_number": "509-925-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBNER",
        "first_name": "SONJA",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60101191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9664251",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellensburg, WA

Sources for this page

Verify at the official NPI Registry.