Active NPI
Susan I Northway, RN
- Registered Nurse
- Colville, WA
National Provider Identifier
1427802677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00085884
- Practice address
- 982 E Columbia Ave Ste 201
Colville, WA 99114-3316 - Phone
- (509) 685-5000
- NPI assigned
- Apr 15, 2024
- Last updated
- Apr 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00085884 | WA | Primary |
Addresses
Primary practice location
982 E Columbia Ave Ste 201
Colville, WA 99114-3316
Mailing address
165 E Hawthorne Ave
Colville, WA 99114-2629
Phone (509) 684-4597
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00085884 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stevens County | Past | Accepting new patients |
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.
-
dba Northeast Washington Alliance Behavioral Health
- Mental Illness Community Based Residential Treatment Facility
- Colville, WA
- NPI 1922517192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713139200000",
"number": "1427802677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 E HAWTHORNE AVE",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991142629",
"telephone_number": "509-684-4597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 E COLUMBIA AVE STE 201",
"city": "COLVILLE",
"state": "WA",
"postal_code": "991143316",
"telephone_number": "509-685-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHWAY",
"first_name": "SUSAN",
"middle_name": "I",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-15",
"certification_date": "2024-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00085884",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colville, WA
- Northeast Washington Alliance Counseling
- Northeast Washington Alliance Counseling Services
- Northeast Washington Alliance Counseling Services
- Northeast Washington Family Counseling, P.S.
- Northeastern Washington Eyecare (Colville Vision Source)
- Savannah C Nupp, CG
- Kelli S O'Connor
- Julie O'Neal
- Kaylee J Oberbarnscheidt
- Jodi Anne Ochs, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.