Manreet Singh Purba, DNP FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP70021427 Issued in WA

Practice address

19803 1St Ave S Ste 200
Normandy Park, WA 98148-2410

Phone

(360) 296-1785

NPI assigned

Jul 14, 2025

Last updated

Jul 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

University of Vermont College of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Athena Medical GroupGroup PAC ID 8921358706, 43 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Athena Medical Group

  • Family Medicine Physician
  • Phoenix, AZ
  • NPI 1164918124

  WA

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1752451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1457242679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 N SAMISH WAY UNIT 441",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982256087",
            "telephone_number": "360-296-1785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19803 1ST AVE S STE 200",
            "city": "NORMANDY PARK",
            "state": "WA",
            "postal_code": "981482410",
            "telephone_number": "360-296-1785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURBA",
        "first_name": "MANREET",
        "middle_name": "SINGH",
        "credential": "DNP FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-14",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70021427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darius Lamar Palmer, M.S., LMHCA
• Luu Phan
• Pier View Chiropractic, Inc. PS
• Pivotal Center
• Jason Powell
• R.a. Shelton, Inc. (Normandy Park Family Chiropractic)
• Arifa Rahman, D.D.S.
• Tracy S Reinhardt, PSY.D.
• Christi P Riley, DPT OCS ATC CSCS
• Sean Riley, DC

• Family Nurse Practitioner in Normandy Park, WA
• Providers in Normandy Park, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.