Individual provider Active NPI

Brooke Ann Bucci, CNM, ARNP

  • Midwife
  • Everett, WA
National Provider Identifier
1346525284
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
AP61306264 Issued in WA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170307001176 TX Practitioner - Certified Nurse Midwife (CNM) 6406013119 Reassigns benefits to 1 organization
I20231229002333 WA Practitioner - Certified Nurse Midwife (CNM) 6406013119 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
R144898MDMDMidwife
AP61306264WAMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jan 1, 2024 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 1, 2024 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility Current Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Apr 2, 2024 Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
The Birth Cottage PastSince Oct 20, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.