Individual provider Active NPI

Antoinette Edwina Byrd, APN

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1487921854
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
60609527 Issued in WA
Practice address
1455 NW Leary Way Ste 400
Seattle, WA 98107-5138
Phone
(646) 450-7748
NPI assigned
Nov 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60609527 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 705069 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 60610293 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95024203 CA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 75248 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 202204535NP-PP OR
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 60609527 WA Primary

Addresses

Primary practice location

1455 NW Leary Way Ste 400
Seattle, WA 98107-5138

Mailing address

134 N 4TH St
Brooklyn, NY 11249-3296
Phone (646) 450-7488

Other practice location 1

205 SE Spokane St
Portland, OR 97202-6487
Phone (646) 450-7488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, OR3 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
I20120531000124 TX Practitioner - Nurse Practitioner 7911160924 Reassigns benefits to 3 organizations
I20160729002094 WA Practitioner - Nurse Practitioner 7911160924 Reassigns benefits to 4 organizations
I20220822001661 OR Practitioner - Nurse Practitioner 7911160924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valera Medical PCGroup PAC ID 0547690521, 160 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

1455 NW Leary Way
Suite 400
Seattle, WA 98107-5138
Phone (646) 450-7748

205 SE Spokane St
Suite 300
Portland, OR 97202-6487
Phone (646) 450-7748

325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 445-8120

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60609527WAMDNurse Practitioner
95024203CAMDPsychiatric/Mental Health Nurse Practitioner
75248IDMDPsychiatric/Mental Health Nurse Practitioner
202204535NP-PPORMDPsychiatric/Mental Health Nurse Practitioner
705069TXMDPsychiatric/Mental Health Nurse Practitioner
60609527WAMDPsychiatric/Mental Health Nurse Practitioner
60610293WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valera Medical, P.a. Psychiatric/Mental Health CurrentSince Oct 4, 2023 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jan 1, 2020 Accepting new patients
Multicare Health System Nurse Practitioner CurrentSince May 17, 2022 Accepting new patients
Multicare Health System CurrentSince May 17, 2022 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation Current Accepting new patients
Telecare Mental Health Services of Washington, Inc CurrentSince Jun 24, 2017 Accepting new patients
Multicare Health System Current Accepting new patients
Thrive Counseling LLC CurrentSince Oct 19, 2021 Accepting new patients
Telecare Mental Health Services of Washington Inc CurrentSince Jun 24, 2017 Accepting new patients
Permian Basin Community Centers for Mental Health & Mental Retardation CurrentSince Jan 1, 2020 Accepting new patients
Valera Medical, P.C. Psychiatric/Mental Health CurrentSince Feb 15, 2022 Accepting new patients
Sound CurrentSince Jun 15, 2016 Accepting new patients
Telecare Mental Health Services of Washington, Inc Current Accepting new patients
The Center for Psychological Health, LLC PastSince Jul 1, 2021 Accepting new patients
Emergency Psychiatric Medicine, PLLC Past Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

134 N 4th St
Brooklyn, NY 11249

205 SE Spokane St
Ste 300
Portland, OR 97202
Phone (503) 388-4255

825 W Royal Ln
Ste 220
Irving, TX 75039

4903 82nd St
Ste 60
Lubbock, TX 79424
Phone (806) 507-6934

401 E Illinois Ave
Ste 300
Midland, TX 79701
Phone (432) 570-3342

401 E Illinois Ave
Ste 100
Midland, TX 79701
Phone (432) 570-3300

600 N Grant Ave
Odessa, TX 79761
Phone (432) 335-8275

33480 13th Pl S
Federal Way, WA 98003
Phone (253) 285-7101

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

1600 E Olive St
Seattle, WA 98122
Phone (206) 302-2800

9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334

6400 Southcenter Blvd
Tukwila, WA 98188
Phone (206) 444-3600

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1487921854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N 4TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112493296",
            "telephone_number": "646-450-7488",
            "fax_number": "718-481-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 NW LEARY WAY STE 400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981075138",
            "telephone_number": "646-450-7748"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 SE Spokane St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972026487",
            "country_code": "US",
            "telephone_number": "646-450-7488",
            "fax_number": "718-481-2061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "ANTOINETTE",
        "middle_name": "EDWINA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-29",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60609527",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "705069",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60610293",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95024203",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "75248",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "202204535NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60609527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.