Individual provider Active NPI

Anne Eileen Niggemeyer, PH.D.

  • Psychologist
  • Everett, WA
National Provider Identifier
1174845804
Registry record updated Feb 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PY00003857 Issued in WA
Practice address
4310 Colby Ave
Suite201
Everett, WA 98203-2338
Phone
(425) 252-7000
Fax
(425) 252-7005
NPI assigned
Feb 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY00003857 WA Primary

Addresses

Primary practice location

4310 Colby Ave
Suite201
Everett, WA 98203-2338

Mailing address

4110 151St St SE
Mill Creek, WA 98012-5426
Phone (425) 252-7000

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Aug 30, 2017 through Aug 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PY00003857WAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1174845804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 151ST ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980125426",
            "telephone_number": "425-252-7000",
            "fax_number": "425-252-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 COLBY AVE",
            "address_2": "SUITE201",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032338",
            "telephone_number": "425-252-7000",
            "fax_number": "425-252-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIGGEMEYER",
        "first_name": "ANNE",
        "middle_name": "EILEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WA",
            "license": "PY00003857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.