Individual provider Active NPI

Andrea Marie Phillips, CNM

  • Women's Health Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1558906008
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
AP61018848 Issued in WA
Practice address
1200 Lakeway Dr Ste 4
Bellingham, WA 98229-2034
Phone
(360) 230-4460
Fax
(360) 350-4112
NPI assigned
Nov 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X AP61018848 WA
Women's Health Nurse Practitioner 363LW0102X AP61018848 WA Primary

Addresses

Primary practice location

1200 Lakeway Dr Ste 4
Bellingham, WA 98229-2034

Mailing address

1200 Lakeway Dr Ste 4
Bellingham, WA 98229-2034
Phone (360) 230-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2025 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
AP61018848WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Phillips Arnp, LLC Women's Health CurrentSince Nov 1, 2022 Accepting new patients

Locations

1200 Lakeway Dr
Ste 4
Bellingham, WA 98229
Phone (360) 230-4460

1200 Old Fairhaven Pkwy
Ste 202
Bellingham, WA 98225
Phone (360) 788-5866

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1558906008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 LAKEWAY DR STE 4",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292034",
            "telephone_number": "360-230-4460",
            "fax_number": "360-350-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKEWAY DR STE 4",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292034",
            "telephone_number": "360-230-4460",
            "fax_number": "360-350-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHILLIPS",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-07",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP61018848",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP61018848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.