Active NPI
Sonia L Nikolova, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1164747200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60138724
- Practice address
- 2106 2ND Ave
Suite 100
Seattle, WA 98121-2215 - Phone
- (206) 441-3043
- NPI assigned
- Apr 1, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP60138724 | WA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60138724 | WA | Primary |
Addresses
Primary practice location
2106 2ND Ave
Suite 100
Seattle, WA 98121-2215
Mailing address
222 E Hamlin St
Apt 3
Seattle, WA 98102-3142
Phone (206) 660-0417
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP60138724 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2017 through Apr 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270080000000",
"number": "1164747200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 E HAMLIN ST",
"address_2": "APT 3",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981023142",
"telephone_number": "206-660-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2106 2ND AVE",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981212215",
"telephone_number": "206-441-3043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKOLOVA",
"first_name": "SONIA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2010-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP60138724",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60138724",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "AP60138724",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.