Individual provider Active NPI

Natalie Paul, FNP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1427507086
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
202003535NP-PP Issued in OR
Practice address
5500 NE 109TH CT Ste a
Vancouver, WA 98662-6104
Phone
(360) 727-1641
Fax
(877) 349-1923
NPI assigned
Sep 23, 2016
Reactivated
Nov 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60701533 WA
Family Nurse Practitioner 363LF0000X 21781 TN
Family Nurse Practitioner 363LF0000X 202003535NP-PP OR Primary

Addresses

Primary practice location

5500 NE 109TH CT Ste a
Vancouver, WA 98662-6104

Mailing address

5500 NE 109TH CT Ste a
Vancouver, WA 98662-6104
Phone (360) 727-1641

Other practice location 1

5612 Ocean Beach Hwy Ste 102
Longview, WA 98632-6215
Phone (971) 225-6970

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
I20170126002583 WA Practitioner - Nurse Practitioner 0042592008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Natalie Paul Private Practice PLLCGroup PAC ID 9032595046, 2 clinicians

Practice addresses (Care Compare)

5500 NE 109TH CT
Suite a
Vancouver, WA 98662-6104
Phone (360) 727-1641

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21781TNMDPharmacist
202003535NP-PPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Natalie Paul Private Practice, PLLC CurrentSince Aug 1, 2022 Accepting new patients
Real You Electrolysis LLC Past Accepting new patients

Locations

5612 Ocean Beach Hwy
Ste 102
Longview, WA 98632
Phone (971) 225-6970

5500 NE 109th Ct
Ste A
Vancouver, WA 98662
Phone (360) 694-1188

5501 NE 109th Ct
Ste N
Vancouver, WA 98662
Phone (360) 217-4205

Interoperability endpoints

  • Direct secure messaging: nataliepaul@lsh-wa.direct.office.nextgen.com

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": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1427507086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 NE 109TH CT STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626104",
            "telephone_number": "360-727-1641",
            "fax_number": "877-349-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 NE 109TH CT STE A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626104",
            "telephone_number": "360-727-1641",
            "fax_number": "877-349-1923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5612 Ocean Beach Hwy Ste 102",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986326215",
            "country_code": "US",
            "telephone_number": "971-225-6970",
            "fax_number": "833-464-3458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAUL",
        "first_name": "NATALIE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "deactivation_date": "2023-10-30",
        "reactivation_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60701533",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "21781",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202003535NP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.