Individual provider Active NPI

Anastasia Kathryn Bellairs, PA-C

  • Physician Assistant
  • Vancouver, WA
National Provider Identifier
1245950203
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61627684 Issued in WA
Practice address
11516 SE Mill Plain Blvd Ste 2Ef
Vancouver, WA 98684-5005
Phone
(888) 875-7820
NPI assigned
Aug 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61627684 WA Primary

Addresses

Primary practice location

11516 SE Mill Plain Blvd Ste 2Ef
Vancouver, WA 98684-5005

Mailing address

11516 SE Mill Plain Blvd Ste 2Ef
Vancouver, WA 98684-5005
Phone (888) 875-7820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA61627684WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Columbia/Willamette, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1245950203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 SE MILL PLAIN BLVD STE 2EF",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845005",
            "telephone_number": "888-875-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 SE MILL PLAIN BLVD STE 2EF",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845005",
            "telephone_number": "888-875-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAIRS",
        "first_name": "ANASTASIA",
        "middle_name": "KATHRYN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61627684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; 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.