Individual provider Active NPI

Barbara R. Guetlin, MN RN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Everett, WA
National Provider Identifier
1346458429
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
RN00053592 Issued in WA
Practice address
9617 7TH Ave SE
Everett, WA 98208-3710
Phone
(425) 513-8509
Fax
(425) 290-9774
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30004972 WA
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN00053592 WA Primary

Addresses

Primary practice location

9617 7TH Ave SE
Everett, WA 98208-3710

Mailing address

9617 7TH Ave SE
Everett, WA 98208-3710
Phone (425) 513-8509

Other identifiers 1

IdentifierTypeStateIssuer
170622OtherVAVALUE OPTIONS

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN00053592WAMDAdult Psychiatric/Mental Health Registered Nurse
AP30004972WAMDPsychiatric/Mental Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1346458429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9617 7TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083710",
            "telephone_number": "425-513-8509",
            "fax_number": "425-290-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9617 7TH AVE SE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083710",
            "telephone_number": "425-513-8509",
            "fax_number": "425-290-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUETLIN",
        "first_name": "BARBARA",
        "middle_name": "R.",
        "credential": "MN RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30004972",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "RN00053592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "170622",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.