Individual provider Active NPI

Fiona Lynne Smith, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1407384100
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61296774 Issued in WA
Practice address
200 W Mercer St Ste 104
Seattle, WA 98119-3958
Phone
(206) 281-7163
Fax
(206) 281-5088
NPI assigned
May 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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 RN00156629 WA
Family Nurse Practitioner 363LF0000X AP61296774 WA Primary

Addresses

Primary practice location

200 W Mercer St Ste 104
Seattle, WA 98119-3958

Mailing address

200 W Mercer St Ste 104
Seattle, WA 98119-3958
Phone (206) 281-7163

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN00156629WAMDRegistered Nurse
AP61296774WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Queen Anne Medical Associates, PLLC Family CurrentSince Dec 13, 2022 Accepting new patients
Seattle King Co Dept of Public Health Past Accepting new patients

Locations

200 W Mercer St
Ste 104
Seattle, WA 98119
Phone (206) 281-7163

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5263/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1407384100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193958",
            "telephone_number": "206-281-7163",
            "fax_number": "206-281-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST STE 104",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193958",
            "telephone_number": "206-281-7163",
            "fax_number": "206-281-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "FIONA",
        "middle_name": "LYNNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00156629",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61296774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.