Individual provider Active NPI

John Stephen Nall, MD

  • Family Medicine Physician
  • Spokane, WA
National Provider Identifier
1407965148
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00034910 Issued in WA
Practice address
9222 N Newport Hwy
Suite 1
Spokane, WA 99218
Phone
(509) 467-4545
Fax
(509) 467-2304
NPI assigned
Aug 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00034910 WA Primary

Addresses

Primary practice location

9222 N Newport Hwy
Suite 1
Spokane, WA 99218

Mailing address

908 E Burk Rd
Colbert, WA 99005
Phone (509) 468-8507

Other identifiers 2

IdentifierTypeStateIssuer
0133260OtherWAL&I
8252975MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050503000725 WA Practitioner - Family Practice 2668411257 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1977
Medicare assignment
May accept Medicare assignment
Group practices
American Current Care of Washington PSGroup PAC ID 8022356617, 17 clinicians

Practice addresses (Care Compare)

3223 1St Ave S
Suite C
Seattle, WA 98134-1850
Phone (206) 624-3651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00034910WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Washington, P.S. CurrentSince Nov 5, 2018 Accepting new patients
American Current Care of Washington, P.S. CurrentSince Nov 5, 2018 Accepting new patients
U.S. Healthworks Medical Group of Washington, PS Past Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060

3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299

4320 196th St SW
Ste D
Lynnwood, WA 98036
Phone (425) 774-8758

3223 1st Ave S
Ste C
Seattle, WA 98134
Phone (206) 624-3651

9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407965148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 E BURK RD",
            "city": "COLBERT",
            "state": "WA",
            "postal_code": "99005",
            "telephone_number": "509-468-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9222 N NEWPORT HWY",
            "address_2": "SUITE 1",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99218",
            "telephone_number": "509-467-4545",
            "fax_number": "509-467-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "JOHN",
        "middle_name": "STEPHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00034910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0133260",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8252975",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.