Teresa Abernathy, ARNP
Individual provider Active NPI Family Nurse Practitioner · Olympia, WA
NPI 1124454533 · NPPES record last updated Nov 24, 2021
Key facts
- NPI
- 1124454533
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP61196188 (WA)
- Practice address
- 209 Lilly Rd NE
Olympia, WA 98506-5030 - Phone
- (360) 413-8250
- Fax
- (360) 413-8830
- NPI assigned
- Sep 17, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Puget Sound Gastroenterology PLLC
Gastroenterology Associates Clinical Practice PLLC
Practice addresses (Care Compare)
11800 NE 128TH St
Suite 100
Kirkland, WA 98034-7208
Phone (425) 899-4500
13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 977-4620
16504 9TH Ave SE
Suite 106
Mill Creek, WA 98012-6388
Phone (425) 977-4626
209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250
7114 W Hood PL
Suite 433
Kennewick, WA 99336-6712
Phone (509) 734-4885
Hospital & facility affiliations
- Providence St Peter Hospital
- Providence Centralia Hospital
- Grays Harbor Community Hospital
- Tacoma General Allenmore 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 |
|---|---|---|---|---|
| I20210825001739 | WA | Practitioner - Nurse Practitioner | 8426453739 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60511648 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Associates Clinical Practice, PLLC | Current |
Accepting new patients | |
| Puget Sound Gastroenterology, PLLC | Current |
Accepting new patients | |
| Puget Sound Gastroenterology, PLLC | Current |
Accepting new patients | |
| Puget Sound Gastroenterology, PLLC | Current | Accepting new patients | |
| Cellnetix Pathology, PLLC | Past | Accepting new patients | |
| Lake Washington Anesthesia PLLC | Past | Accepting new patients | |
| Puget Sound Gastroenterology, PLLC | Past | Accepting new patients |
Locations
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500
16504 9th Ave SE
Ste 201
Mill Creek, WA 98012
Phone (425) 686-7138
209 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 413-8250
413 Lilly Rd NE
Olympia, WA 98506
Phone (360) 491-9480
209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250
Interoperability endpoints
- teresa.abernathy@gastrohealth.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 60511648 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61196188 | WA | Yes |
Addresses
Primary practice location
209 Lilly Rd NE
Olympia, WA 98506-5030
Mailing address
209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8191
Other providers in Olympia, WA
- Abc Pediatrics, PLLC
- Maryan Abdirahman
- Alexander E Abdullayev
- Sharon C Abegg
- Jennifer M Abelson
- Heshani W Abeysundara
- Above Home Health LLC
- Tilahun Haile Abraha
- Waleed Abraham
- Robin Abrahamson
All providers in Olympia, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 24, 2021. 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.