Individual provider Active NPI

Cathy L Fliris, DNP, ARNP, FNP

  • Family Nurse Practitioner
  • Arlington, WA
National Provider Identifier
1265513790
Registry record updated Apr 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60663111 Issued in WA
Practice address
540 N West Ave
Arlington, WA 98223-1251
Phone
(360) 435-8262
Fax
(360) 474-1394
NPI assigned
Oct 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2020

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 AP60663111 WA Primary

Addresses

Primary practice location

540 N West Ave
Arlington, WA 98223-1251

Mailing address

746 Malabar Dr
Camano Island, WA 98282-7577
Phone (307) 340-0641

Other identifiers 1

IdentifierTypeStateIssuer
121907300MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address clinic@arlingtonpharmacy.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130610000737 WY Order and Referring Only - Nurse Practitioner 0941287205

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60663111WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586908800000",
    "number": "1265513790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 MALABAR DR",
            "city": "CAMANO ISLAND",
            "state": "WA",
            "postal_code": "982827577",
            "telephone_number": "307-340-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 N WEST AVE",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231251",
            "telephone_number": "360-435-8262",
            "fax_number": "360-474-1394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIRIS",
        "first_name": "CATHY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-04-15",
        "certification_date": "2020-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60663111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121907300",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "clinic@arlingtonpharmacy.com",
            "affiliation": "N",
            "endpointDescription": "clinic email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "540 N West Ave",
            "city": "Arlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982231251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.