Individual provider Active NPI

Erica Sarkipato, CPNP

  • Pediatric Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1275933350
Registry record updated May 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP60650397 Issued in WA
Practice address
3434 12TH Ave NE
Olympia, WA 98506-5175
Phone
(360) 413-8470
Fax
(360) 413-8491
NPI assigned
Aug 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X AP60650397 WA Primary

Addresses

Primary practice location

3434 12TH Ave NE
Olympia, WA 98506-5175

Mailing address

3434 12TH Ave NE
Olympia, WA 98506-5175
Phone (360) 413-8494

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
Certified Pediatric Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60650397WAMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1275933350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 12TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065175",
            "telephone_number": "360-413-8494",
            "fax_number": "360-413-8491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 12TH AVE NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065175",
            "telephone_number": "360-413-8470",
            "fax_number": "360-413-8491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARKIPATO",
        "first_name": "ERICA",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP60650397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.