Individual provider Active NPI

Paul D. Foucault, ARNP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1598799546
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30006276 Issued in WA
Practice address
1660 South Columbian Way
Seattle Veterans Administration Medical Center
Seattle, WA 98108-1597
Phone
(206) 768-5468
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00133865 WA
Nurse Practitioner 363L00000X AP30006276 WA Primary
Family Nurse Practitioner 363LF0000X AP30006276 WA

Addresses

Primary practice location

1660 South Columbian Way
Seattle Veterans Administration Medical Center
Seattle, WA 98108-1597

Mailing address

PO Box 24366
Seattle, WA 98124-0366
Phone (206) 598-0502

Other identifiers 3

IdentifierTypeStateIssuer
39081UOtherWAREGENCE BLUESHIELD
0178399OtherWALABOR & INDUSTRIES
9639642MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260413001123 WA Order and Referring Only - Family PracticePractitioner - Family Practice 6901898592

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN00133865WAMDRegistered Nurse
AP30006276WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1598799546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24366",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981240366",
            "telephone_number": "206-598-0502",
            "fax_number": "206-598-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SOUTH COLUMBIAN WAY",
            "address_2": "SEATTLE VETERANS ADMINISTRATION MEDICAL CENTER",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081597",
            "telephone_number": "206-768-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUCAULT",
        "first_name": "PAUL",
        "middle_name": "D.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00133865",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006276",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30006276",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "39081U",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0178399",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9639642",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.