Active NPI
Alisa Chard, FNP
- Family Nurse Practitioner
- Monroe, WA
National Provider Identifier
1235964107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61586658
- 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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Nurse Practitioner, WA
-
- Federally Qualified Health Center (FQHC)
- Concrete, WA
- NPI 1790185759
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Federally Qualified Health Center (FQHC)
- Monroe, WA
- NPI 1942626072
-
- Federally Qualified Health Center (FQHC)
- Monroe, WA
- NPI 1508049008
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
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
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 61586658 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Nurse Practitioner | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Past | 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
- achard802582@direct.multicare.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61586658 | WA | Primary |
| Nurse Practitioner | 363L00000X | 61586658 | WA |
Addresses
NPPES NPI RegistryPrimary 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.