Individual provider Active NPI

Natalya Yevgenievna Kumar, FNP-BC

  • Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1134635352
Registry record updated Mar 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60813550 Issued in WA
Practice address
5017 196TH St SW Ste 204
Lynnwood, WA 98036-6123
Phone
(206) 582-7700
NPI assigned
Dec 26, 2017
Last updated
Mar 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363L00000X AP60813550 WA Primary

Addresses

Primary practice location

5017 196TH St SW Ste 204
Lynnwood, WA 98036-6123

Mailing address

21805 55TH Ave W
Mountlake Terrace, WA 98043-3209

Other practice location 1

21805 55th Ave W
Mountlake Terrace, WA 98043-3209
Phone (206) 524-6740

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
I20210521000974 WA Practitioner - Nurse Practitioner 4284978479 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5017 196TH St SW
Suite 204
Lynnwood, WA 98036-6123
Phone (206) 424-2911

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Associates P.S Single Specialty CurrentSince Apr 24, 2021 Accepting new patients
Endomed Family Clinic LLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients

Locations

1632 116th Ave NE
Ste C
Bellevue, WA 98004
Phone (206) 462-9800

5017 196th St SW
Ste 204
Lynnwood, WA 98036
Phone (206) 424-2911

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13603/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/25713/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1514246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646438400000",
    "number": "1134635352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21805 55TH AVE W",
            "city": "MOUNTLAKE TERRACE",
            "state": "WA",
            "postal_code": "980433209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5017 196TH ST SW STE 204",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366123",
            "telephone_number": "206-582-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21805 55th Ave W",
            "address_purpose": "LOCATION",
            "city": "Mountlake Terrace",
            "state": "WA",
            "postal_code": "980433209",
            "country_code": "US",
            "telephone_number": "206-524-6740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "NATALYA",
        "middle_name": "YEVGENIEVNA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-26",
        "last_updated": "2022-03-05",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60813550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.