Active NPI
Megan E Herdener, ARNP
- Family Nurse Practitioner
- Gig Harbor, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP3007169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP3007169 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Roots Community Health | Current | Accepting new patients | |
| Seattle Roots Community Health | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1972623189
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1356999288
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1891343075
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1164642278
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1497189773
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.