Individual provider Active NPI

Amy Appel Picco, D.O.

  • Counselor
  • Bellingham, WA
National Provider Identifier
1609804830
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1133 Railroad Ave Ste 100
Bellingham, WA 98225-5054
Phone
(360) 676-2164
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OP00002344 WA
Counselor 101Y00000X Primary

Addresses

Primary practice location

1133 Railroad Ave Ste 100
Bellingham, WA 98225-5054

Mailing address

2106 Dellesta Dr
Bellingham, WA 98226-7823
Phone (360) 929-1774

Other practice location 1

5486 Harbor Ave
Freeland, WA 98249-3002
Phone (360) 331-5060

Other identifiers 1

IdentifierTypeStateIssuer
8511057MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP00002344WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesys Integrated Group Practice PC Past Accepting new patients

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660694400000",
    "number": "1609804830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 DELLESTA DR",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267823",
            "telephone_number": "360-929-1774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 RAILROAD AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982255054",
            "telephone_number": "360-676-2164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5486 Harbor Ave",
            "address_purpose": "LOCATION",
            "city": "Freeland",
            "state": "WA",
            "postal_code": "982493002",
            "country_code": "US",
            "telephone_number": "360-331-5060",
            "fax_number": "360-331-2104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PICCO",
        "first_name": "AMY",
        "middle_name": "APPEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP00002344",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8511057",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.