Joelle P Fathi, DNP, RN, ARNP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP30005597 Issued in WA

Practice address

1101 Madison St
Ste 900
Seattle, WA 98104-1306

Phone

(206) 215-6800

Fax

(206) 215-6801

NPI assigned

Dec 28, 2006

Last updated

Jan 6, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prof. Joelle P Fathi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Queen Anne Family Medicine Inc PS

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1679663967
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1528124492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "STE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-215-6800",
            "fax_number": "206-215-6801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "STE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-215-6800",
            "fax_number": "206-215-6801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATHI",
        "first_name": "JOELLE",
        "middle_name": "P",
        "name_prefix": "Prof.",
        "credential": "DNP, RN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP30005597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9627480",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOELLE",
            "last_name": "FATHI",
            "middle_name": "P",
            "prefix": "PROF.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ebrima S Fatajo, DNP
• Emily Holderman Fate, ARNP
• Katherine C. Fate, DO
• Yasaman Fatemi, M.D.
• Daniel Fathi, MD
• Carrie Fathke, MD
• Sarah Mahmoud Gehad Fathy
• Gusti Lulu Fatima, MD
• Giancarlo Fatobene
• Angelo William Fatta, OTR/L

• Acute Care Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Acute Care Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2015; 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.