Active NPI
Brooke Ann Bucci, CNM, ARNP
- Midwife
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- AP61306264
- Practice address
- 900 Pacific Ave Ste 501
Everett, WA 98201-4189 - Phone
- (425) 683-0500
- Fax
- (425) 258-7540
- NPI assigned
- Oct 11, 2011
- Last updated
- Jun 19, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Midwife | 176B00000X | R144898 | MD | |
| Midwife | 176B00000X | AP61306264 | WA | Primary |
Addresses
Primary practice location
900 Pacific Ave Ste 501
Everett, WA 98201-4189
Mailing address
PO Box 60141
Seattle, WA 98160-0141
Phone (240) 298-4235
Other practice location 1
1108 Washington Ave
Enumclaw, WA 98022-3547
Phone (360) 226-2362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R144898 | MD | MD | Midwife |
| AP61306264 | WA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| DHHS PHS Naihs Chinle Comprehensive Health Care Facility | Current | Accepting new patients | |
| Providence Health & Services-Wa | Past | Accepting new patients | |
| The Birth Cottage | Past | Accepting new patients |
Locations
900 Pacific Ave
Ste 501
Everett, WA 98201
Phone (425) 258-7550
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
Interoperability endpoints
- bbucci3104622@wm.providencedirect.org
Organizations & group practices 6
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 PMG NW Wa
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
dba Chinle Comprehensive Health Care Facility
- General Acute Care Hospital
- Chinle, AZ
- NPI 1508800129
TX
-
dba Providence Physician Group
- General Practice Physician
- Mukilteo, WA
- NPI 1306201488
-
dba Tsaile Health Center
- General Acute Care Hospital
- Tsaile, AZ
- NPI 1538185715
-
- General Acute Care Hospital
- Everett, WA
- NPI 1700037801
-
- Birthing Clinic/Center
- Enumclaw, WA
- NPI 1700428463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718755200000",
"number": "1346525284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60141",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981600141",
"telephone_number": "240-298-4235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PACIFIC AVE STE 501",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014189",
"telephone_number": "425-683-0500",
"fax_number": "425-258-7540"
}
],
"practiceLocations": [
{
"address_1": "1108 Washington Ave",
"address_purpose": "LOCATION",
"city": "Enumclaw",
"state": "WA",
"postal_code": "980223547",
"country_code": "US",
"telephone_number": "360-226-2362",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCCI",
"first_name": "BROOKE",
"middle_name": "ANN",
"credential": "CNM, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2024-06-19",
"certification_date": "2024-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "MD",
"license": "R144898",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "WA",
"license": "AP61306264",
"primary": true
}
],
"identifiers": [],
"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 Jun 19, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.