Active NPI
Chayene Peterson Albuquerque, FNP-C
- Nurse Practitioner
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60940497
- Practice address
- 551 E Hawthorne Rd
Spokane, WA 99218-1417 - Phone
- (509) 489-2369
- NPI assigned
- Mar 21, 2013
- Last updated
- May 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 64630 | ID | |
| Family Nurse Practitioner | 363LF0000X | AP4894 | AZ | |
| Family Nurse Practitioner | 363LF0000X | AP60940497 | WA | |
| Nurse Practitioner | 363L00000X | AP60940497 | WA | Primary |
Addresses
Primary practice location
551 E Hawthorne Rd
Spokane, WA 99218-1417
Mailing address
551 E Hawthorne Rd
Spokane, WA 99218-1417
Phone (509) 489-2369
Other practice location 1
4001 E Sunrise Dr
Suite# 120
Tucson, AZ 85718-4333
Phone (520) 209-7001
Other practice location 2
551 E Hawthorne Rd
Spokane, WA 99218-1417
Phone (509) 489-2369
Other practice location 3
920 N. Argonne Rd
Ste 115
Spokane, WA 99212-2796
Phone (509) 408-2107
Other practice location 4
16528 E Desmet Ct Ste A1200
Spokane Valley, WA 99216-3522
Phone (509) 489-8910
Other practice location 5
10416 5TH Ave NE Ste A1200
Spokane Valley, WA 99216
Phone (509) 489-8910
Other practice location 6
421 S Division St
Spokane, WA 99202-1331
Phone (509) 474-2100
Other practice location 7
9300 W Overland Rd Ste 150
Boise, ID 83709-8263
Phone (208) 268-8024
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | calbuquerque1112940@wm.providencedirect.org | Direct | |
| Direct Messaging Address | calbuquerque1112940@wm.providencedirect.org | Direct | |
| Direct Messaging Address | calbuquerque1112940@wm.providencedirect.org | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
551 E Hawthorne Rd
Spokane, WA 99218-1417
Phone (509) 489-2369
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60940497 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth Washington PC | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Past | Accepting new patients | |
| Dispatchhealth Advanced Care - Washington PC | Past | Accepting new patients |
Locations
3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350
1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701
1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720
421 S Division St
Spokane, WA 99202
Phone (509) 474-2100
551 E Hawthorne Rd
Spokane, WA 99218
Phone (509) 252-1900
16528 E Desmet Ct
#A1200
Spokane Valley, WA 99216
Phone (509) 944-8910
16528 E Desmet Ct
Ste A1200
Spokane Valley, WA 99216
Phone (509) 474-2100
16528 E Desmet Ct
Ste B3100
Spokane Valley, WA 99216
Phone (509) 944-9440
920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107
6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720
Interoperability endpoints
- calbuquerque1112940@wm.providencedirect.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Providence Medical Group
- Pulmonary Disease Physician
- Spokane, WA
- NPI 1194099390
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
-
dba PMG PHC Providence Express Care
- General Practice Physician
- Spokane, WA
- NPI 1306391446
-
dba Providence St. Peter Chemical Dependency Center
- Substance Use Disorder Rehabilitation Hospital Unit
- Hoquiam, WA
- NPI 1043374119
-
- Hospitalist Physician
- Denver, CO
- NPI 1093324659
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Prov Scred Hrt Med Ctr & Chlds Hos
- General Acute Care Hospital
- Spokane, WA
- NPI 1144471715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1285976803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "551 E HAWTHORNE RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181417",
"telephone_number": "509-489-2369",
"fax_number": "720-598-0440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "551 E HAWTHORNE RD",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992181417",
"telephone_number": "509-489-2369"
}
],
"practiceLocations": [
{
"address_1": "4001 E Sunrise Dr",
"address_2": "Suite# 120",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857184333",
"country_code": "US",
"telephone_number": "520-209-7001",
"fax_number": "866-896-4889",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "551 E Hawthorne Rd",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992181417",
"country_code": "US",
"telephone_number": "509-489-2369",
"fax_number": "509-465-4109",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "920 N. Argonne Rd",
"address_2": "Ste 115",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992122796",
"country_code": "US",
"telephone_number": "509-408-2107",
"fax_number": "720-598-0440",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16528 E Desmet Ct Ste A1200",
"address_purpose": "LOCATION",
"city": "Spokane Valley",
"state": "WA",
"postal_code": "992163522",
"country_code": "US",
"telephone_number": "509-489-8910",
"fax_number": "509-227-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10416 5TH AVE NE STE A1200",
"address_purpose": "LOCATION",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "99216",
"country_code": "US",
"telephone_number": "509-489-8910",
"fax_number": "509-227-7070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "421 S Division St",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992021331",
"country_code": "US",
"telephone_number": "509-474-2100",
"fax_number": "509-474-2101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9300 W Overland Rd Ste 150",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837098263",
"country_code": "US",
"telephone_number": "208-268-8024",
"fax_number": "855-398-9683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALBUQUERQUE",
"first_name": "CHAYENE",
"middle_name": "PETERSON",
"name_prefix": "Mr.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-21",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "64630",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP4894",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60940497",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60940497",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "calbuquerque1112940@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "551 E Hawthorne Rd",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992181417",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "calbuquerque1112940@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "16528 E Desmet Ct Ste A1200",
"city": "Spokane Valley",
"state": "WA",
"country_code": "US",
"postal_code": "992163522",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "calbuquerque1112940@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "421 S Division St",
"city": "Spokane",
"state": "WA",
"country_code": "US",
"postal_code": "992021331",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.