Organization Active NPI

Birchwood Womens Health PS

  • Women's Health Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1487778510
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP30003413 Issued in WA
Legal business name
BIRCHWOOD WOMENS HEALTH PS
Practice address
3015 Squalicum Parkway
Suite 250
Bellingham, WA 98225-1946
Phone
(360) 671-7442
Fax
(360) 671-8062
NPI assigned
Mar 16, 2007
Last updated
Aug 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Authorized official

Name
Cindy M Larsen
Title
Office Manager
Phone
(360) 671-7442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP30003413 WA Primary

Addresses

Primary practice location

3015 Squalicum Parkway
Suite 250
Bellingham, WA 98225-1946

Mailing address

3015 Squalicum Parkway
Suite 250
Bellingham, WA 98225-1946
Phone (360) 671-7442

Other identifiers 1

IdentifierTypeStateIssuer
9613050MedicaidWA

National Provider Directory

National Provider Directory

Locations

905 Squalicum Way
Ste 104
Bellingham, WA 98225
Phone (360) 526-2185

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1487778510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PARKWAY",
            "address_2": "SUITE 250",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251946",
            "telephone_number": "360-671-7442",
            "fax_number": "360-671-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 SQUALICUM PARKWAY",
            "address_2": "SUITE 250",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251946",
            "telephone_number": "360-671-7442",
            "fax_number": "360-671-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCHWOOD WOMENS HEALTH PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "360-671-7442"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP30003413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9613050",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.