NPIMap

Organization Active NPI

In Home Primary Care, PLLC

  • Gerontology Nurse Practitioner
  • Snohomish, WA
National Provider Identifier
1356469720
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP30005721 Issued in WA
Legal business name
IN HOME PRIMARY CARE, PLLC
Practice address
127 Avenue a Bay 3
Ste 1 & 2
Snohomish, WA 98290-2962
Phone
(360) 863-3657
Fax
(360) 863-6295
NPI assigned
Mar 26, 2007
Last updated
Apr 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Betty A Westfall, MN,ARNP
Title
Managing Member
Phone
(360) 863-3657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X AP30005721 WA Primary

Addresses

Primary practice location

127 Avenue a Bay 3
Ste 1 & 2
Snohomish, WA 98290-2962

Mailing address

127 Avenue a Bay 3
Ste 1 & 2
Snohomish, WA 98290-2962
Phone (360) 863-3657

National Provider Directory

National Provider Directory

Locations

127 Avenue A
Ste 1
Snohomish, WA 98290
Phone (360) 663-3657

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1356469720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 AVENUE A BAY 3",
            "address_2": "STE 1 & 2",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902962",
            "telephone_number": "360-863-3657",
            "fax_number": "360-863-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 AVENUE A BAY 3",
            "address_2": "STE 1 & 2",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902962",
            "telephone_number": "360-863-3657",
            "fax_number": "360-863-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN HOME PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "WESTFALL",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "360-863-3657",
        "authorized_official_credential": "MN,ARNP"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP30005721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snohomish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.