Donica Liwanag Badua, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61086891 Issued in WA

Practice address

515 Minor Ave Ste 300
Seattle, WA 98104-2133

Phone

(206) 386-9500

Fax

(206) 386-9500

NPI assigned

Jul 24, 2020

Last updated

Dec 21, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1225647381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 300",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042133",
            "telephone_number": "206-386-9500",
            "fax_number": "206-386-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADUA",
        "first_name": "DONICA",
        "middle_name": "LIWANAG",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61086891",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60309145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225647381",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Badolato, DO
• Nelufar Badr, DDS
• Dana Badra
• Maram Badri
• Alexander Daniel Badu
• Jenelle Holst Badulak, MD
• Richard J Badura, M.D.
• Alison Sujung Bae, MD
• Crystal Bae
• Eunice Hejin Bae, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.