Organization Active NPI

Planned Parenthood of Greater Washington and North Idaho

  • Women's Health Nurse Practitioner
  • Mount Vernon, WA
National Provider Identifier
1588074694
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
600033210 Issued in WA
Legal business name
PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO
Doing business as
PPGWNI
Practice address
1805 E Division St
Mount Vernon, WA 98274-4632
Phone
(360) 848-1744
NPI assigned
Apr 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Sendi Aceves
Title
Coo
Phone
(866) 904-7721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 600033210 WA Primary

Addresses

Primary practice location

1805 E Division St
Mount Vernon, WA 98274-4632

Mailing address

1509 Cornwall Ave
Bellingham, WA 98225-4521
Phone (360) 734-9007

Other identifiers 1

IdentifierTypeStateIssuer
7913700MedicaidWA

Other names 1

  • PPGWNI Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Greater Washington and North Idaho3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1398729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1588074694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254521",
            "telephone_number": "360-734-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E DIVISION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744632",
            "telephone_number": "360-848-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "ACEVES",
        "authorized_official_first_name": "SENDI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "866-904-7721"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "600033210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7913700",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PPGWNI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Vernon, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.