Individual provider Active NPI

Bridgett Ann Chandler, ARNP

  • Family Nurse Practitioner
  • Vashon, WA
National Provider Identifier
1619445517
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61226766 Issued in WA
Practice address
10030 SW 210TH St
Vashon, WA 98070-6584
Phone
(206) 463-3671
Fax
(206) 463-1090
NPI assigned
Nov 8, 2018
Last updated
Nov 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61226766 WA Primary
Registered Nurse 163W00000X RN60864680 WA

Addresses

Primary practice location

10030 SW 210TH St
Vashon, WA 98070-6584

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6603

Other practice location 1

9650 15th Ave SW
Seattle, WA 98106-2576
Phone (206) 965-1000

Other identifiers 1

IdentifierTypeStateIssuer
2208305MedicaidWA

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
I20230130001014 WA Practitioner - Nurse Practitioner 7517338544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

10030 SW 210TH St
Vashon, WA 98070-6584
Phone (206) 763-5277

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61226766WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Oct 1, 2022 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Sea Mar Community Health Centers Registered Nurse CurrentSince Oct 1, 2022 Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients

Locations

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

9650 15th Ave SW
Seattle, WA 98106
Phone (206) 965-1000

10030 SW 210th St
Vashon, WA 98070
Phone (206) 463-3671

Interoperability endpoints

  • Direct secure messaging: bchandler489202@direct.multicare.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1619445517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6603",
            "fax_number": "206-764-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10030 SW 210TH ST",
            "city": "VASHON",
            "state": "WA",
            "postal_code": "980706584",
            "telephone_number": "206-463-3671",
            "fax_number": "206-463-1090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9650 15th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981062576",
            "country_code": "US",
            "telephone_number": "206-965-1000",
            "fax_number": "206-965-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "BRIDGETT",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61226766",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60864680",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2208305",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vashon, WA

Sources for this page

Verify at the official NPI Registry.