Individual provider Active NPI

Elizabeth Simon, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1396209193
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61152138 Issued in WA
Practice address
1753 NW 56TH St Ste 200
Seattle, WA 98107-5279
Phone
(206) 548-5850
NPI assigned
Jan 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60869214 WA
Family Nurse Practitioner 363LF0000X AP61152138 WA Primary

Addresses

Primary practice location

1753 NW 56TH St Ste 200
Seattle, WA 98107-5279

Mailing address

1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114

Other practice location 1

8720 14th Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730

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
I20211028001576 WA Practitioner - Nurse Practitioner 3779971403 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborcare HealthGroup PAC ID 0143134205, 100 clinicians

Practice addresses (Care Compare)

1753 NW 56TH St
Suite 200
Seattle, WA 98107-5219
Phone (206) 782-5939

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60869214WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 25, 2021 Accepting new patients
Neighborcare Health CurrentSince Apr 8, 2024 Accepting new patients
Neighborcare Health Current Accepting new patients
Sea Mar Community Health Centers Registered Nurse CurrentSince Oct 25, 2021 Accepting new patients
Neighborcare Health CurrentSince Apr 8, 2024 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients

Locations

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

Organizations & group practices 7

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": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703635200000",
    "number": "1396209193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3114",
            "fax_number": "206-262-0859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 NW 56TH ST STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075279",
            "telephone_number": "206-548-5850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8720 14th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981084807",
            "country_code": "US",
            "telephone_number": "206-762-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMON",
        "first_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60869214",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61152138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.