Individual provider Active NPI

Alisa Chard, FNP

  • Family Nurse Practitioner
  • Monroe, WA
National Provider Identifier
1235964107
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61586658 Issued in WA
Practice address
17707 W Main St
Monroe, WA 98272-1967
Phone
(360) 282-3885
Fax
(360) 512-2026
NPI assigned
Sep 3, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 5

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health Centers 235 clinicians

Practice addresses (Care Compare)

17707 W Main St
FL 1
Monroe, WA 98272-1967
Phone (360) 282-3885

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20240923004135 WA Practitioner - Nurse Practitioner 3476094079 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61586658WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Oct 8, 2024 Accepting new patients
Sea Mar Community Health Centers Nurse Practitioner Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 8, 2024 Accepting new patients
Sea Mar Community Health Centers CurrentSince Nov 30, 2025 Accepting new patients
Sea Mar Community Health Centers PastSince Nov 30, 2025 Accepting new patients

Locations

4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

17707 W Main St
Monroe, WA 98272
Phone (360) 282-3885

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

Interoperability endpoints

  • Direct secure messaging: achard802582@direct.multicare.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61586658 WA Primary
Nurse Practitioner 363L00000X 61586658 WA

Addresses

NPPES NPI Registry

Primary practice location

17707 W Main St
Monroe, WA 98272-1967

Mailing address

PO Box 34703
Seattle, WA 98124-1703

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2025.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1235964107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17707 W MAIN ST",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "982721967",
            "telephone_number": "360-282-3885",
            "fax_number": "360-512-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARD",
        "first_name": "ALISA",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-03",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61586658",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "61586658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, WA

Sources for this page

Verify at the official NPI Registry.