Active NPI
Nancy Lee Bartholomew, ARNP
- Nurse Practitioner
- Kirkland, WA
National Provider Identifier
1477650802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30005344
- Practice address
- 12040 NE 128TH St
Ms 31
Kirkland, WA 98034-3013 - Phone
- (425) 899-2789
- Fax
- (425) 899-2759
- NPI assigned
- Sep 20, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | AP30005344 | WA | |
| Nurse Practitioner | 363L00000X | AP30005344 | WA | Primary |
Addresses
Primary practice location
12040 NE 128TH St
Ms 31
Kirkland, WA 98034-3013
Mailing address
PO Box 34036
Seattle, WA 98124-1036
Phone (425) 899-3292
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP30005344 | Other | WA | ARNP |
| 9626599 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30005344 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No 2 | Past | Accepting new patients | |
| King County Public Hospital District No. 2 | Past | Accepting new patients | |
| Overlake Internal Medicine Associates Inc PS | Past | Accepting new patients | |
| Evergreen Health | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Clinic/Center
- Kirkland, WA
- NPI 1962892521
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1407896806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1477650802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34036",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241036",
"telephone_number": "425-899-3292",
"fax_number": "425-899-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"address_2": "MS 31",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "425-899-2789",
"fax_number": "425-899-2759"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTHOLOMEW",
"first_name": "NANCY",
"middle_name": "LEE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "AP30005344",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30005344",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "AP30005344",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9626599",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.