Individual provider Active NPI

Amy Young Garrett, M.D.

  • Pediatrics Physician
  • Oak Harbor, WA
National Provider Identifier
1477503746
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60317765 Issued in WA
Practice address
275 SE Cabot Dr
Suite B-102
Oak Harbor, WA 98277-3715
Phone
(260) 675-5555
NPI assigned
May 10, 2006
Last updated
Apr 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A67060 CA
Pediatrics Physician 208000000X 60317765 WA Primary

Addresses

Primary practice location

275 SE Cabot Dr
Suite B-102
Oak Harbor, WA 98277-3715

Mailing address

275 SE Cabot Dr
Suite B-102
Oak Harbor, WA 98277-3715
Phone (260) 675-5555

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A67060CAMDPediatrics Physician
60317765WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whidbey Island Public Hospital District Past Accepting new patients
Pediatric Associates of Whidbey Island, PS Pediatrics Past Accepting new patients
Pediatric Associates of Whidbey Island, PS Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: agarrett99173@direct.seattlechildrens.org
  • Direct secure messaging: m.nagel@securechartupload.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1477503746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR",
            "address_2": "SUITE B-102",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773715",
            "telephone_number": "260-675-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 SE CABOT DR",
            "address_2": "SUITE B-102",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982773715",
            "telephone_number": "260-675-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "AMY",
        "middle_name": "YOUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A67060",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60317765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.