Michaelene W Deelstra, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30003298 Issued in WA

Practice address

1536 N 115TH St Ste 200
Seattle, WA 98133-8400

Phone

(206) 363-1004

Fax

(206) 363-3548

NPI assigned

Oct 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1194809814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84026",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981248426",
            "telephone_number": "206-363-1004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 N 115TH ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338400",
            "telephone_number": "206-363-1004",
            "fax_number": "206-363-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEELSTRA",
        "first_name": "MICHAELENE",
        "middle_name": "W",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie Deechakawan-Miller, PHD, DNP, ARNP
• Stefanie Ann Deeds, M.D.
• H Joachim Deeg, MD
• Megan Deegan
• Melissa Deeken, LMHCA
• Steven A Deem, M.D.
• Jason Deen, M.D.
• Shaun Ansara Deen, M.D.
• Deep Brain Stimulation TR
• Deep Roots Therapy, PLLC

• Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.