Individual provider Active NPI

Susan E Stone, ARNP

  • Adult Health Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1497733620
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP30006079 Issued in WA
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

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0222788OtherWALIWA
4648STOtherWABSWA
9647496MedicaidWA
0222787OtherWALIWA
6751STOtherWABSWA

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

OrganizationSpecialtyStatusNew patients
Seahurst Chiropractic Clinic Inc. CurrentSince Feb 4, 2017 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.

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.

Verify at the official NPI Registry.