Individual provider Active NPI

Chayene Peterson Albuquerque, FNP-C

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1285976803
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60940497 Issued in WA
Practice address
551 E Hawthorne Rd
Spokane, WA 99218-1417
Phone
(509) 489-2369
NPI assigned
Mar 21, 2013
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190702001377 WA Practitioner - Nurse Practitioner 5991948341 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
AP60940497WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Washington PC CurrentSince Apr 7, 2020 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 22, 2019 Accepting new patients
Providence Health & Services Washington CurrentSince Jul 22, 2019 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.