Individual provider Active NPI

Pamela J Vecchio, F.N.P.

  • Family Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1396833158
Registry record updated Mar 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60056887 Issued in WA
Practice address
9227 E Main Ave
Spokane Valley, WA 99206-3768
Phone
(509) 444-8888
Fax
(509) 444-7806
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60056887 WA Primary

Addresses

Primary practice location

9227 E Main Ave
Spokane Valley, WA 99206-3768

Mailing address

PO Box 768
Plains, MT 59859-0768
Phone (406) 826-4813

Other identifiers 1

IdentifierTypeStateIssuer
1060323MedicaidWA

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
I20081217000368 WA Practitioner - Nurse Practitioner 0345247409 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 1, 2015 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Aug 1, 2015 Accepting new patients
Missoula Bone & Joint, LLC PastSince Sep 1, 2009 Accepting new patients
Columbia Medical Associates LLC Past Accepting new patients
Bitterroot Family Medicine, P.C. PastSince Jun 1, 2017 Accepting new patients
Community Health Association of Spokane Past Accepting new patients

Locations

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

6002 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-4402

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: pamela.vecchio@398008301912068.direct.elationemr.com
  • Direct secure messaging: pamela.vecchio.1@30520.direct.athenahealth.com
  • FHIR API: https://mbnj.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 6

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489536000000",
    "number": "1396833158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "PLAINS",
            "state": "MT",
            "postal_code": "598590768",
            "telephone_number": "406-826-4813",
            "fax_number": "406-826-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9227 E MAIN AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992063768",
            "telephone_number": "509-444-8888",
            "fax_number": "509-444-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VECCHIO",
        "first_name": "PAMELA",
        "middle_name": "J",
        "credential": "F.N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2017-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60056887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1060323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.