Individual provider Active NPI

Judith L. Chilcote, MSARNP

  • Women's Health Nurse Practitioner
  • Mount Vernon, WA
National Provider Identifier
1386618205
Registry record updated Jan 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP30006033 Issued in WA
Practice address
111 N 17TH St
Mount Vernon, WA 98273-3440
Phone
(360) 424-4627
Fax
(360) 848-6327
NPI assigned
Feb 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP30006033 WA Primary

Addresses

Primary practice location

111 N 17TH St
Mount Vernon, WA 98273-3440

Mailing address

111 N 17TH St
Mount Vernon, WA 98273-3440
Phone (360) 424-4627

Other identifiers 1

IdentifierTypeStateIssuer
9633710MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060119000050 WA Practitioner - Nurse Practitioner 0648294587 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30006033WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 16, 2021 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Aug 16, 2021 Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients

Locations

903 Medical Center Dr
Arlington, WA 98223
Phone (360) 435-0242

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1386618205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N 17TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733440",
            "telephone_number": "360-424-4627",
            "fax_number": "360-848-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 17TH ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982733440",
            "telephone_number": "360-424-4627",
            "fax_number": "360-848-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILCOTE",
        "first_name": "JUDITH",
        "middle_name": "L.",
        "credential": "MSARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30006033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9633710",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.