Active NPI
Susan E Stone, ARNP
- Adult Health Nurse Practitioner
- Bellevue, WA
National Provider Identifier
1497733620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30006079
- Practice address
- 1120 112TH Ave NE
Suite 150
Bellevue, WA 98004-4500 - Phone
- (425) 467-3978
- Fax
- (425) 688-5281
- NPI assigned
- Jan 6, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30006079 | WA | Primary |
Addresses
Primary practice location
1120 112TH Ave NE
Suite 150
Bellevue, WA 98004-4500
Mailing address
1120 112TH Ave NE
Suite 150
Bellevue, WA 98004-4500
Phone (426) 467-3978
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0222788 | Other | WA | LIWA |
| 4648ST | Other | WA | BSWA |
| 9647496 | Medicaid | WA | |
| 0222787 | Other | WA | LIWA |
| 6751ST | Other | WA | BSWA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seahurst Chiropractic Clinic Inc. | Current | Accepting new patients | |
| Inpatient Physican Services PLLC | Past | Accepting new patients | |
| Careplus Medical Centers, Inc | Past | Accepting new patients | |
| Northwest Hospital Medicine Physicians LLC | Past | Accepting new patients | |
| Fifth Avenue Internal Medicine, Inc | Past | Accepting new patients |
Locations
9528 State Ave
Ste B
Marysville, WA 98270
Phone (360) 659-6554
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.
-
- Chiropractor
- Burien, WA
- NPI 1316146319
-
- Family Medicine Physician
- Shoreline, WA
- NPI 1902885635
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1740367929
-
- Long Term Care Hospital
- Seattle, WA
- NPI 1548434749
-
- Hospitalist Physician
- Las Cruces, NM
- NPI 1972056752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1497733620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 112TH AVE NE",
"address_2": "SUITE 150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044500",
"telephone_number": "426-467-3978",
"fax_number": "425-688-5281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 112TH AVE NE",
"address_2": "SUITE 150",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980044500",
"telephone_number": "425-467-3978",
"fax_number": "425-688-5281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "SUSAN",
"middle_name": "E",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30006079",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA",
"identifier": "0222788",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSWA",
"identifier": "4648ST",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9647496",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIWA",
"identifier": "0222787",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSWA",
"identifier": "6751ST",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.