Active NPI
Phoebe Chitila James, NP
- Family Nurse Practitioner
- Issaquah, WA
National Provider Identifier
1346640588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60670305
- Practice address
- 751 NE Blakely Dr Ste 1090
Issaquah, WA 98029-6201 - Phone
- (206) 386-2552
- Fax
- (206) 215-3959
- NPI assigned
- Aug 25, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95001134 | CA | |
| Family Nurse Practitioner | 363LF0000X | AP60670305 | WA | Primary |
Addresses
Primary practice location
751 NE Blakely Dr Ste 1090
Issaquah, WA 98029-6201
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other names 1
- Phoebe N'Gonga Chitila
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.1 of 100
- Quality
- 84.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.46
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001134 | CA | MD | Family Nurse Practitioner |
| AP60670305 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients |
Locations
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704
Interoperability endpoints
- pchitilajames3142930@wm.providencedirect.org
Organizations & group practices 2
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.
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- San Diego, CA
- NPI 1285616177
-
- Optometrist
- San Diego, CA
- NPI 1063172351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1346640588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 NE BLAKELY DR STE 1090",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "980296201",
"telephone_number": "206-386-2552",
"fax_number": "206-215-3959"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHITILA JAMES",
"first_name": "PHOEBE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-25",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95001134",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60670305",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PHOEBE",
"last_name": "CHITILA",
"middle_name": "N'GONGA",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.