Organization Active NPI

Bellingham Arthritis & Rheumatology

  • Rheumatology Physician
  • Bellingham, WA
National Provider Identifier
1194086579
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD0004725 Issued in WA
Legal business name
BELLINGHAM ARTHRITIS & RHEUMATOLOGY
Practice address
470 Birchwood Ave
Suite C
Bellingham, WA 98225-1781
Phone
(360) 734-5754
Fax
(360) 734-0586
NPI assigned
Jun 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Authorized official

Name
Rebecca Lynn Reed
Title
Revenue Cycle Manager
Phone
(360) 734-5754

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X MD0004725 WA Primary

Addresses

Primary practice location

470 Birchwood Ave
Suite C
Bellingham, WA 98225-1781

Mailing address

470 Birchwood Ave
Suite C
Bellingham, WA 98225-1781
Phone (360) 734-5754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120913000765 WA Part B Supplier - Clinic/Group Practice 5799933859 Receives reassigned benefits from 3 practitioners
Practice locations: Bellingham, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2252960Bellingham Arthritis and Rheumatology470 Birchwood Ave Ste C, Bellingham, WA 98225Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1194086579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 BIRCHWOOD AVE",
            "address_2": "SUITE C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251781",
            "telephone_number": "360-734-5754",
            "fax_number": "360-734-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BIRCHWOOD AVE",
            "address_2": "SUITE C",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251781",
            "telephone_number": "360-734-5754",
            "fax_number": "360-734-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM ARTHRITIS & RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "360-734-5754"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "WA",
            "license": "MD0004725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.