Individual provider Active NPI

Saskia E Vonmichalofski, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Issaquah, WA
National Provider Identifier
1467624049
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60003268 Issued in WA
Practice address
5837 221St PL SE
Issaquah, WA 98027-8917
Phone
(425) 391-0887
Fax
(425) 391-7014
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60003268 WA Primary

Addresses

Primary practice location

5837 221St PL SE
Issaquah, WA 98027-8917

Mailing address

600 Oakesdale Ave SW
Ste 104
Renton, WA 98057-5226
Phone (425) 228-5336

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
I20080421000244 WA Practitioner - Nurse Practitioner 7214015064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

22500 SE 64TH PL
BLDG G Suite 230
Issaquah, WA 98027-8111
Phone (425) 409-6414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60003268WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Psychological and Counseling Services LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.saskiavonmichalofski@147765.advancedmd-direct.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": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1467624049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKESDALE AVE SW",
            "address_2": "STE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980575226",
            "telephone_number": "425-228-5336",
            "fax_number": "425-228-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5837 221ST PL SE",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980278917",
            "telephone_number": "425-391-0887",
            "fax_number": "425-391-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONMICHALOFSKI",
        "first_name": "SASKIA",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60003268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.