Individual provider Active NPI

Jeanette R Spreadborough, ARNP

  • Family Nurse Practitioner
  • Aberdeen, WA
National Provider Identifier
1205559291
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61392390 Issued in WA
Practice address
1020 Anderson Dr
Aberdeen, WA 98520-1055
Phone
(360) 533-6063
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61392390 WA Primary

Addresses

Primary practice location

1020 Anderson Dr
Aberdeen, WA 98520-1055

Mailing address

4414 Garden Spot Rd
Clayton, WA 99110
Phone (360) 957-2167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230110001351 WA Practitioner - Nurse Practitioner 1052781986 Reassigns benefits to 1 organization
I20250616002688 TX Practitioner - Nurse Practitioner 1052781986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quinault Indian NationGroup PAC ID 4385164839, 14 clinicians

Practice addresses (Care Compare)

1020 Anderson Dr
Suite 203
Aberdeen, WA 98520-1055
Phone (360) 533-6063

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Quinault Indian Nation CurrentSince Apr 3, 2025 Accepting new patients
Herdel Medical Services Current Accepting new patients
Juliette Erickson MD PS Current Accepting new patients
New Health Programs Association CurrentSince Jan 3, 2023 Accepting new patients
Fisher Family Medicine, PS Current Accepting new patients
New Health Programs Association CurrentSince Jan 3, 2023 Accepting new patients

Locations

421 W State St
Aberdeen, WA 98520

1020 Anderson Dr
Aberdeen, WA 98520
Phone (360) 533-5000

1020 Anderson Dr
Ste 203
Aberdeen, WA 98520
Phone (360) 533-6063

518 E Clay Ave
Chewelah, WA 99109
Phone (509) 935-6004

509 E Main Ave
Chewelah, WA 99109
Phone (509) 935-6001

Interoperability endpoints

  • Direct secure messaging: jeanette.spreadborough.1@32702.direct.athenahealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1205559291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4414 GARDEN SPOT RD",
            "city": "CLAYTON",
            "state": "WA",
            "postal_code": "99110",
            "telephone_number": "360-957-2167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 ANDERSON DR",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985201055",
            "telephone_number": "360-533-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPREADBOROUGH",
        "first_name": "JEANETTE",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61392390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

Verify at the official NPI Registry.