Individual provider Active NPI

Evelyn Rosalie Sabroe, ARNP

  • Registered Nurse
  • Dupont, WA
National Provider Identifier
1295800621
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00156838 Issued in WA
Practice address
1175 Center Dr
Ste 130
Dupont, WA 98327-7733
Phone
(253) 964-5260
Fax
(253) 964-5266
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00156838 WA Primary
Primary Care Nurse Practitioner 363LP2300X AP30007427 WA

Addresses

Primary practice location

1175 Center Dr
Ste 130
Dupont, WA 98327-7733

Mailing address

1175 Center Dr
Ste 130
Dupont, WA 98327-7733
Phone (253) 964-5260

Other identifiers 5

IdentifierTypeStateIssuer
8944073OtherWASTATE CRIME VICTIMS
9651225MedicaidWA
0218704OtherWASTATE L&I
P00369741OtherWARAILROAD
0229196OtherWASTATE L&I

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
I20070119000187 WA Practitioner - Nurse Practitioner 6103827092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3920 Capital Mall Dr SW
Suite 200
Olympia, WA 98502-8701
Phone (360) 459-7282

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00156838WAMDRegistered Nurse
AP30007427WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Medical Center Physicians LLC CurrentSince Jun 3, 2023 Accepting new patients
Capital Medical Center Physicians LLC CurrentSince Jun 3, 2023 Accepting new patients
Franciscan Medical Group PastSince May 19, 2024 Accepting new patients

Locations

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1295800621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 CENTER DR",
            "address_2": "STE 130",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983277733",
            "telephone_number": "253-964-5260",
            "fax_number": "253-964-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 CENTER DR",
            "address_2": "STE 130",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983277733",
            "telephone_number": "253-964-5260",
            "fax_number": "253-964-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABROE",
        "first_name": "EVELYN",
        "middle_name": "ROSALIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00156838",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30007427",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE CRIME VICTIMS",
            "identifier": "8944073",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9651225",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0218704",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00369741",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE L&I",
            "identifier": "0229196",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, WA

Sources for this page

Verify at the official NPI Registry.