NPIMap

Organization Active NPI

Bellingham Family and Women'S Health

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1376594093
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30001197 Issued in WA
Legal business name
BELLINGHAM FAMILY AND WOMEN'S HEALTH
Practice address
1116 Key St
Ste 106
Bellingham, WA 98225-5232
Phone
(360) 756-9793
Fax
(360) 752-9007
NPI assigned
May 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Authorized official

Name
Ms. Bonnie Lynn Sprague, ARNPNPI 1659331791
Title
President
Phone
(360) 756-9793

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X AP30001197 WA Primary

Addresses

Primary practice location

1116 Key St
Ste 106
Bellingham, WA 98225-5232

Mailing address

1050 Larrabee Ave Ste 204
Bellingham, WA 98225-7367
Phone (360) 756-9793

Other identifiers 4

IdentifierTypeStateIssuer
602-453-320OtherWAUBI ST. OF WA
50D0963661OtherWACLIA #
9646357MedicaidWA
MTS- 3639OtherWACLIA LICENSE #

Other names 1

  • Bellingham Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050207000445 WA Part B Supplier - Clinic/Group Practice 0244281350 Receives reassigned benefits from 2 practitioners
Practice locations: Bellingham, WA

National Provider Directory

National Provider Directory

Locations

1050 Larrabee Ave
Ste 204
Bellingham, WA 98225
Phone (360) 383-8682

3130 Squalicum Pkwy
#500
Bellingham, WA 98225
Phone (360) 756-9793

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610064000000",
    "number": "1376594093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 LARRABEE AVE STE 204",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257367",
            "telephone_number": "360-756-9793",
            "fax_number": "360-752-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 KEY ST",
            "address_2": "STE 106",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255232",
            "telephone_number": "360-756-9793",
            "fax_number": "360-752-9007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLINGHAM FAMILY AND WOMEN'S HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A",
        "authorized_official_last_name": "SPRAGUE",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-756-9793",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30001197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI ST. OF WA",
            "identifier": "602-453-320",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "50D0963661",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9646357",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LICENSE #",
            "identifier": "MTS- 3639",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellingham Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bellingham Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.