Individual provider Active NPI

Megan E Herdener, ARNP

  • Family Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1487986998
Registry record updated Feb 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP3007169 Issued in WA
Practice address
9601 Bujacich Rd NW
Wa Corrections Center for Women
Gig Harbor, WA 98332-8300
Phone
(253) 858-4665
Fax
(253) 858-4225
NPI assigned
Feb 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP3007169 WA Primary

Addresses

Primary practice location

9601 Bujacich Rd NW
Wa Corrections Center for Women
Gig Harbor, WA 98332-8300

Mailing address

9601 Bujacich Rd NW
Wa Corrections Center for Women
Gig Harbor, WA 98332-8300
Phone (253) 858-4665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240909002373 WA Practitioner - Nurse Practitioner 4789124454 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP3007169WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Seattle Roots Community Health CurrentSince Aug 26, 2024 Accepting new patients
Seattle Roots Community Health CurrentSince Aug 26, 2024 Accepting new patients
Seattle Roots Community Health Current Accepting new patients
Seattle Roots Community Health Past Accepting new patients
Seattle Roots Community Health Past Accepting new patients

Locations

2101 E Yesler Way
Ste 100
Seattle, WA 98122
Phone (206) 987-7200

301 21st Ave E
Seattle, WA 98112
Phone (206) 709-7190

2410 E Cherry St
Seattle, WA 98122
Phone (206) 299-1900

500 19th Ave E
Seattle, WA 98112
Phone (206) 299-1600

2101 E Yesler Way
#210
Seattle, WA 98122
Phone (206) 299-1937

2101 E Yesler Way
Ste 150
Seattle, WA 98122
Phone (206) 299-1900

Organizations & group practices 5

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": "1265587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265587200000",
    "number": "1487986998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BUJACICH RD NW",
            "address_2": "WA CORRECTIONS CENTER FOR WOMEN",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328300",
            "telephone_number": "253-858-4665",
            "fax_number": "253-858-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BUJACICH RD NW",
            "address_2": "WA CORRECTIONS CENTER FOR WOMEN",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983328300",
            "telephone_number": "253-858-4665",
            "fax_number": "253-858-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERDENER",
        "first_name": "MEGAN",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-08",
        "last_updated": "2010-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP3007169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.