Active NPI
Pratima Shrestha
- Family Nurse Practitioner
- Centralia, WA
National Provider Identifier
1508402785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61337045
- Practice address
- 1800 Cooks Hill Rd Ste F
Centralia, WA 98531-9162 - Phone
- (360) 669-0335
- Fax
- (360) 736-2967
- NPI assigned
- Nov 21, 2019
- 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 | AP61337045 | WA | Primary |
Addresses
Primary practice location
1800 Cooks Hill Rd Ste F
Centralia, WA 98531-9162
Mailing address
2690 NE Kresky Ave
Chehalis, WA 98532-2412
Phone (360) 330-9595
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2214622 | Medicaid | WA |
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 |
|---|---|---|---|
| AP61337045 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lewis County Community Health Services | Current | Accepting new patients | |
| Lewis County Community Health Services | Current | Accepting new patients | |
| Lewis County Community Health Services | Current | Accepting new patients |
Locations
1800 Cooks Hill Rd
Ste F
Centralia, WA 98531
Phone (360) 330-8939
2690 NE Kresky Ave
Chehalis, WA 98532
Phone (360) 330-9595
Interoperability endpoints
- pratima.shresthadnp.p1@direct.valleyviewhc.nextgenshare.com
Organizations & group practices 3
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.
-
dba Valley View Health Center
- Federally Qualified Health Center (FQHC)
- Chehalis, WA
- NPI 1134164692
-
dba Valley View Health Center - Walk In
- Federally Qualified Health Center (FQHC)
- Centralia, WA
- NPI 1437418175
-
dba Valley View Health Center - Centralia
- Federally Qualified Health Center (FQHC)
- Centralia, WA
- NPI 1811669658
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1508402785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2690 NE KRESKY AVE",
"city": "CHEHALIS",
"state": "WA",
"postal_code": "985322412",
"telephone_number": "360-330-9595",
"fax_number": "369-330-9560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 COOKS HILL RD STE F",
"city": "CENTRALIA",
"state": "WA",
"postal_code": "985319162",
"telephone_number": "360-669-0335",
"fax_number": "360-736-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRESTHA",
"first_name": "PRATIMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-21",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61337045",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2214622",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Centralia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.