Individual provider Active NPI

Erica Jean Rayack

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1558140244
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61484494 Issued in WA
Practice address
8720 14TH Ave S
Seattle, WA 98108-4807
Phone
(206) 762-3263
NPI assigned
Sep 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61484494 WA Primary

Addresses

Primary practice location

8720 14TH Ave S
Seattle, WA 98108-4807

Mailing address

247 Broadway
Tacoma, WA 98402-4004
Phone (860) 301-6003

Other practice location 1

1515 Martin Luther King Jr Way
Tacoma, WA 98405-3933
Phone (800) 769-0045

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024001472 WA Practitioner - Nurse Practitioner 2365898624 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Sep 29, 2023 Accepting new patients
Sea Mar Community Health Centers CurrentSince Sep 29, 2023 Accepting new patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky Past Accepting new patients

Locations

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Organizations & group practices 4

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": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1558140244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BROADWAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984024004",
            "telephone_number": "860-301-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8720 14TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084807",
            "telephone_number": "206-762-3263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984053933",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYACK",
        "first_name": "ERICA",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-22",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61484494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.