Individual provider Active NPI

Desirae Raquel Dorsey, PMH-NP, ARNP, FNP

  • Nurse Practitioner
  • Everett, WA
National Provider Identifier
1164185443
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61222170 Issued in WA
Practice address
11400 Airport Rd Ste 200
Everett, WA 98204-8711
Phone
(888) 281-4325
Fax
(509) 800-4566
NPI assigned
Oct 14, 2021
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61222170 WA Primary
Family Nurse Practitioner 363LF0000X AP61222170 WA

Addresses

Primary practice location

11400 Airport Rd Ste 200
Everett, WA 98204-8711

Mailing address

11400 Airport Rd Ste 200
Everett, WA 98204-8711
Phone (888) 281-4325

Other identifiers 3

IdentifierTypeStateIssuer
AP61222170OtherWANURSE PRACTITIONER-FAMILY, MSN, ARNP, FNP-C
2024028064OtherWAANCC
2024028064OtherWAPMH-NP CERTIFICATION -BC

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Anywhere Wellness, PLLC Nurse Practitioner CurrentSince Apr 14, 2024 Accepting new patients

Locations

11400 Airport Rd
Ste 200
Everett, WA 98204
Phone (425) 386-0080

Organizations & group practices 1

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1164185443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11400 AIRPORT RD STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048711",
            "telephone_number": "888-281-4325",
            "fax_number": "509-800-4566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 AIRPORT RD STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982048711",
            "telephone_number": "888-281-4325",
            "fax_number": "509-800-4566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "DESIRAE",
        "middle_name": "RAQUEL",
        "credential": "PMH-NP, ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61222170",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61222170",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER-FAMILY, MSN, ARNP, FNP-C",
            "identifier": "AP61222170",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2024028064",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PMH-NP CERTIFICATION -BC",
            "identifier": "2024028064",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.