Individual provider Active NPI

Peggy Ann Steward, FNP

  • Family Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1457483786
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007625 Issued in WA
Practice address
8121 W Quinault Ave Ste F101
Kennewick, WA 99336-8210
Phone
(509) 438-8966
Fax
(949) 404-8805
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007625 WA Primary

Addresses

Primary practice location

8121 W Quinault Ave Ste F101
Kennewick, WA 99336-8210

Mailing address

8121 W Quinault Ave Ste F101
Kennewick, WA 99336-8210
Phone (509) 438-8966

Other identifiers 2

IdentifierTypeStateIssuer
9655838MedicaidWA
0230416OtherWALABOR & INDUSTRIES

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
I20080414000384 WA Practitioner - Nurse Practitioner 5294827176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspire Health Medical Weight ManagementGroup PAC ID 3173944196, 4 clinicians

Practice addresses (Care Compare)

8121 W Quinault Ave
Suite F101
Kennewick, WA 99336-8210
Phone (509) 438-8966

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30007625WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Columbia Endoscopy Center, LLC CurrentSince Jan 10, 2020 Accepting new patients
Tri-Cities Digestive Health Center, PS CurrentSince Aug 29, 2019 Accepting new patients
Aspire Health Medical Weight Management Family CurrentSince Nov 25, 2019 Accepting new patients
Raymond H Sjerven DO Nurse Practitioner Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

8045 W Grandridge Blvd
#A
Kennewick, WA 99336
Phone (509) 438-8966

8819 W Victoria Ave
Ste 130
Kennewick, WA 99336
Phone (509) 460-5500

8121 W Quinault Ave
Ste F101
Kennewick, WA 99336
Phone (509) 438-8966

Organizations & group practices 5

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1457483786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8121 W QUINAULT AVE STE F101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368210",
            "telephone_number": "509-438-8966",
            "fax_number": "949-404-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 W QUINAULT AVE STE F101",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993368210",
            "telephone_number": "509-438-8966",
            "fax_number": "949-404-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWARD",
        "first_name": "PEGGY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9655838",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0230416",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.