Active NPI
Barbara Ann Staab, MS, ARNP
- Family Nurse Practitioner
- Federal Way, WA
National Provider Identifier
1154349249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30003349
- Practice address
- 30809 1St Ave S Ste G
Federal Way, WA 98003-4074 - Phone
- (253) 945-8130
- Fax
- (253) 839-1071
- NPI assigned
- Jul 17, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP30003349 | WA | Primary |
Addresses
Primary practice location
30809 1St Ave S Ste G
Federal Way, WA 98003-4074
Mailing address
27723 21St PL S
Federal Way, WA 98003-6953
Phone (253) 529-3623
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0199177 | Other | WA | LABOR AND INDUSTRIES |
| 9612128 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30003349 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154349249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27723 21ST PL S",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036953",
"telephone_number": "253-529-3623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30809 1ST AVE S STE G",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980034074",
"telephone_number": "253-945-8130",
"fax_number": "253-839-1071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAAB",
"first_name": "BARBARA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MS, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30003349",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0199177",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9612128",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
- St Francis Community Hospital
- St Francis Community Hospital (St Francis Pac Lab)
- St Francis Community Hospital (Franciscan Pharmacy First Avenue)
- St Francis Community Hospital
- Sherry Lynn St. Luke, LMP
- Nora Celeste Stake
- Marcus Stamfard
- Bo Stanbury, PHYSICIAN ASSISTANT
- Stanette Afh LLC
- April Marie Stanford
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.