Active NPI
Alison Pfeffer, N.P.
- Family Nurse Practitioner
- Snohomish, WA
National Provider Identifier
1275634255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61201642
- Practice address
- 1830 Bickford Ave Ste 211
Snohomish, WA 98290-1751 - Phone
- (360) 568-1502
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 201701724NP-PP | OR | |
| Family Nurse Practitioner | 363LF0000X | AP61201642 | WA | Primary |
Addresses
Primary practice location
1830 Bickford Ave Ste 211
Snohomish, WA 98290-1751
Mailing address
PO Box 3360
Portland, OR 97208-3360
Phone (866) 747-2455
Other practice location 1
13200 SW Pacific Hwy
Tigard, OR 97223-4828
Phone (503) 598-2000
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220324001237 | WA | Practitioner - Nurse Practitioner | 3173809977 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services-Washington | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients |
Locations
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
1830 Bickford Ave
Ste 211
Snohomish, WA 98290
Phone (360) 563-5900
Interoperability endpoints
- apfeffer797159@wm.providencedirect.org
Organizations & group practices 2
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.
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- Surgery Physician
- Everett, WA
- NPI 1114236791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661990400000",
"number": "1275634255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360",
"telephone_number": "866-747-2455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 BICKFORD AVE STE 211",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982901751",
"telephone_number": "360-568-1502"
}
],
"practiceLocations": [
{
"address_1": "13200 SW Pacific Hwy",
"address_purpose": "LOCATION",
"city": "Tigard",
"state": "OR",
"postal_code": "972234828",
"country_code": "US",
"telephone_number": "503-598-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PFEFFER",
"first_name": "ALISON",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2022-09-01",
"certification_date": "2022-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "201701724NP-PP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61201642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.