Emily S Darr, FNP
Individual provider Active NPI Nurse Practitioner
NPI 1114493012 · NPPES record last updated Oct 17, 2018
Key facts
- NPI
- 1114493012
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F10180377 (MP)
- Practice address
- 1 San Jose VLG
Tinian, NMI 96952
UM - Phone
- (670) 286-2606
- NPI assigned
- Oct 17, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Public Hospital District 3 of Pacific County
Practice addresses (Care Compare)
167 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-6498
174 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3181
176 1St Ave N
Ilwaco, WA 98624-9137
Phone (360) 642-3747
PO Box H
Ilwaco, WA 98624
Hospital & facility affiliations
- Harbors Home Health / Hospice
- Ocean Beach Hospital
- Columbia Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220624001326 | WA | Practitioner - Nurse Practitioner | 0345629119 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F10180377 | MP | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District 3 of Pacific County | Current |
Accepting new patients | |
| Public Hospital District 3 of Pacific County | Current |
Accepting new patients | |
| Public Hospital District 3 of Pacific County | Past | Accepting new patients |
Locations
1501 Bay Ave
Ste 201
Ocean Park, WA 98640
Phone (360) 642-3747
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F10180377 | MP | Yes |
Addresses
Primary practice location
1 San Jose VLG
Tinian, NMI 96952
UM
Mailing address
1 San Jose VLG
Tinian, NMI 96952
UM
Other practice location 1
1 San Jose Vlg
Tinian, MP 96952-9997
Phone (670) 286-2606
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.