Individual provider Active NPI

Alyse Watkins, DNP, CPNP-PC/AC

  • Pediatric Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1194559740
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP61589839 Issued in WA
Practice address
4545 Cordata Pkwy Ste 1E
Bellingham, WA 98226-7264
Phone
(360) 752-5246
Fax
(360) 752-5678
NPI assigned
Aug 27, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X AP61589839 WA
Pediatric Nurse Practitioner 363LP0200X AP61589839 WA Primary

Addresses

Primary practice location

4545 Cordata Pkwy Ste 1E
Bellingham, WA 98226-7264

Mailing address

2835 Thornton Rd
Ferndale, WA 98248-8782

Other practice location 1

2835 Thornton Rd
Ferndale, WA 98248-8782
Phone (720) 352-3891

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241008000476 WA Practitioner - Nurse Practitioner 5890226302 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Pediatrics CurrentSince Nov 29, 2024 Accepting new patients

Locations

4545 Cordata Pkwy
Ste 1E
Bellingham, WA 98226
Phone (360) 752-5246

4545 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 752-5646

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1194559740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 THORNTON RD",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982488782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CORDATA PKWY STE 1E",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267264",
            "telephone_number": "360-752-5246",
            "fax_number": "360-752-5678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 Thornton Rd",
            "address_purpose": "LOCATION",
            "city": "Ferndale",
            "state": "WA",
            "postal_code": "982488782",
            "country_code": "US",
            "telephone_number": "720-352-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "ALYSE",
        "credential": "DNP, CPNP-PC/AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "AP61589839",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP61589839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.