Individual provider Active NPI

Sally W Echols, ARNP

  • Nurse Practitioner
  • Moses Lake, WA
National Provider Identifier
1477690386
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60746658 Issued in WA
Practice address
801 S Wheeler Rd
Moses Lake, WA 98837
Phone
(509) 663-8711
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-031082 AL
Nurse Practitioner 363L00000X AP60746658 WA Primary

Addresses

Primary practice location

801 S Wheeler Rd
Moses Lake, WA 98837

Mailing address

820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711

Other practice location 1

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Other practice location 2

1330 Rockefeller Ave Ste 310
Everett, WA 98201-1677
Phone (425) 316-4590

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sechols843094@wm.providencedirect.org Direct
Direct Messaging Address sechols843094@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, VA, CA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150723009496 AL Practitioner - Nurse Practitioner 3274436696 Reassigns benefits to 1 organization
I20160719001445 VA Practitioner - Nurse Practitioner 3274436696
I20220907003423 CA Practitioner - Nurse Practitioner 3274436696 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-031082ALMDRegistered Nurse
AP60746658WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Enloe Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Enloe Medical Center Current Accepting new patients
Community Hospital Inc CurrentSince May 15, 2015 Accepting new patients
Enloe Medical Center CurrentSince Aug 1, 2022 Accepting new patients
Community Hospital Inc Current Accepting new patients
Community Hospital Inc CurrentSince May 15, 2015 Accepting new patients
Cardiovascular Associates of North Alabama, P.C. Past Accepting new patients

Locations

805 Friendship Rd
Tallassee, AL 36078
Phone (334) 283-6541

1390 E Lassen Ave
Chico, CA 95973
Phone (530) 332-6332

185 E 7th Ave
Chico, CA 95926
Phone (530) 332-4400

Interoperability endpoints

  • Direct secure messaging: sechols843094@wm.providencedirect.org

Organizations & group practices 7

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1477690386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 N CHELAN AVE",
            "city": "WENATCHEE",
            "state": "WA",
            "postal_code": "988012028",
            "telephone_number": "509-663-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S WHEELER RD",
            "city": "MOSES LAKE",
            "state": "WA",
            "postal_code": "98837",
            "telephone_number": "509-663-8711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-946-4611",
            "fax_number": "509-942-3110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1330 Rockefeller Ave Ste 310",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982011677",
            "country_code": "US",
            "telephone_number": "425-316-4590",
            "fax_number": "425-259-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHOLS",
        "first_name": "SALLY",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-031082",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60746658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sechols843094@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "888 Swift Blvd",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993523514",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sechols843094@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1330 Rockefeller Ave Ste 310",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982011677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moses Lake, WA

Sources for this page

Verify at the official NPI Registry.