Individual provider Active NPI

Nancy Dearborn, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1427135854
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30003328 Issued in WA
Practice address
4203 Northridge Way
Bellingham, WA 98226
Phone
(425) 941-4744
Fax
(855) 590-1216
NPI assigned
Nov 1, 2006
Last updated
Oct 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30003328 WA Primary
Mental Health Counselor 101YM0800X AP30003328 WA

Addresses

Primary practice location

4203 Northridge Way
Bellingham, WA 98226

Mailing address

4203 Northridge Way
Bellingham, WA 98226
Phone (425) 941-4744

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
I20040423000005 WA Practitioner - Nurse Practitioner 7315933462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1313 E Maple St
Suite 111
Bellingham, WA 98225-5741
Phone (425) 941-4744

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Naturally, Inc. CurrentSince Dec 1, 2013 Accepting new patients

Locations

11521 NE 21st St
Bellevue, WA 98004
Phone (425) 455-6784

1313 E Maple St
Bellingham, WA 98225
Phone (425) 941-4744

1313 E Maple St
Ste 111
Bellingham, WA 98225
Phone (425) 941-4744

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1427135854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 NORTHRIDGE WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "425-941-4744",
            "fax_number": "855-590-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4203 NORTHRIDGE WAY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "98226",
            "telephone_number": "425-941-4744",
            "fax_number": "855-590-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARBORN",
        "first_name": "NANCY",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-10-18",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30003328",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "AP30003328",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.