Individual provider Active NPI

Lucy Chege, FNP DNP

  • Family Nurse Practitioner
  • Everett, WA
National Provider Identifier
1336511575
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6091135 Issued in WA
Practice address
15 SW Everett Mall Way Ste a
Everett, WA 98204-2715
Phone
(555) 562-5442
Fax
(562) 499-6171
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN219260 GA
Family Nurse Practitioner 363LF0000X 219260 GA
Family Nurse Practitioner 363LF0000X 6091135 WA Primary

Addresses

Primary practice location

15 SW Everett Mall Way Ste a
Everett, WA 98204-2715

Mailing address

1511 16TH Ave
Milton, WA 98354-9112
Phone (770) 757-0161

Other practice location 1

148 Westview Dr NE
Cartersville, GA 30121-5162
Phone (770) 757-0161

Other practice location 2

1511 16th Ave
Milton, WA 98354-9112
Phone (770) 757-0161

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
I20190308002640 WA Practitioner - Nurse Practitioner 3779822754 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN219260GAMDRegistered Nurse
219260GAMDFamily Nurse Practitioner
6091135WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compassionate Planet LLC Current Accepting new patients
Noble Missions LLC Registered Nurse Current Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

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.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1336511575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1511 16TH AVE",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983549112",
            "telephone_number": "770-757-0161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SW EVERETT MALL WAY STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982042715",
            "telephone_number": "555-562-5442",
            "fax_number": "562-499-6171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Westview Dr NE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301215162",
            "country_code": "US",
            "telephone_number": "770-757-0161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1511 16th Ave",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WA",
            "postal_code": "983549112",
            "country_code": "US",
            "telephone_number": "770-757-0161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEGE",
        "first_name": "LUCY",
        "credential": "FNP DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN219260",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "219260",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "6091135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.