Rafael Achacoso, ARNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Seattle, WA
NPI 1134835432 · NPPES record last updated Nov 2, 2023
Key facts
- NPI
- 1134835432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP61403331 (WA)
- Practice address
- 2105 5TH Ave
Seattle, WA 98121-2932 - Phone
- (206) 486-6501
- Fax
- (206) 710-2264
- NPI assigned
- Jan 30, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61403331 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Affect Therapeutics Inc | Single Specialty | Current |
Accepting new patients |
| Vest Seattle, LLC | Single Specialty | Current |
Accepting new patients |
| Sublimity Psychiatry | Single Specialty | Current |
Accepting new patients |
Locations
1640 Boro Pl
Fl 4
Tysons, VA 22102
Phone (571) 440-1887
3955 156th St NE
Marysville, WA 98271
Phone (360) 651-6400
300 Lenora St
Seattle, WA 98121
Phone (206) 623-7671
1700 7th Ave
Ste 2100
Seattle, WA 98101
Phone (206) 401-0932
1112 Daniels St
Bsmt
Vancouver, WA 98660
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | AP61403331 | WA | Yes |
Addresses
Primary practice location
2105 5TH Ave
Seattle, WA 98121-2932
Mailing address
300 Lenora Street
PMB 6345
Seattle, WA 98121
Phone (206) 486-6501
Other providers in Seattle, WA
- Jadine Catherine Acena
- Alvin P Aceron
- Melanie Acevedo
- Daisy Marie Aceves
- Francis Rainier Achacoso
- Patricia Trinidad Acharya
- Emmanuel K Acheampong Jr.
- Karen Erika Acheson
- Lauren K. Acheson
- Jennifer Strong Achilles
All providers in Seattle, WA · Psychiatric/Mental Health 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 2, 2023. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.