Individual provider Active NPI

Barbara J Sitsch, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1275897043
Registry record updated Aug 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60687619 Issued in WA
Practice address
7100 Fort Dent Way, Ste 220
Seattle, WA 98188
Phone
(206) 708-7274
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 101-0086545 VT
Family Nurse Practitioner 363LF0000X AP60687619 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60687619 WA Primary

Addresses

Primary practice location

7100 Fort Dent Way, Ste 220
Seattle, WA 98188

Mailing address

7100 Fort Dent Way, Ste 220
Seattle, WA 98188
Phone (206) 708-7274

Other identifiers 2

IdentifierTypeStateIssuer
1021132MedicaidVT
3107354MedicaidNH

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190212002764 WA Practitioner - Nurse Practitioner 9537407853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

7100 Fort Dent Way
Suite 220
Tukwila, WA 98188-8553
Phone (425) 640-7009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101-0086545VTMDFamily Nurse Practitioner
AP60687619WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Cities Counseling and Consultation CurrentSince Jan 27, 2019 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Dec 22, 2018 Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

325 W Gowe St
Kent, WA 98032

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

7100 Fort Dent Way
Ste 220
Tukwila, WA 98188
Phone (206) 708-7274

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.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1275897043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 FORT DENT WAY, STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-708-7274",
            "fax_number": "802-748-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 FORT DENT WAY, STE 220",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "206-708-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITSCH",
        "first_name": "BARBARA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-08-16",
        "certification_date": "2022-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VT",
            "license": "101-0086545",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60687619",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60687619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021132",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3107354",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.