Active NPI
David Colvin, ARNP
- Family Nurse Practitioner
- Inchelium, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60878825
- Practice address
- 39 Shortcut Rd
Inchelium, WA 99138 - Phone
- (509) 722-6007
- NPI assigned
- Oct 19, 2018
- Last updated
- Oct 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60878825 | WA | Primary |
Addresses
Primary practice location
39 Shortcut Rd
Inchelium, WA 99138
Mailing address
39 Shortcut Rd
Inchelium, WA 99138
Phone (509) 722-7006
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Confederated Tribes of the Colville Reservation
Practice addresses (Care Compare)
39 Short Cut Rd
Inchelium, WA 99138-5116
Phone (509) 722-7006
PO Box
290 39 Short Cut Rd
Inchelium, WA 99138-0290
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60878825 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colville Nation Community Health Centers | Current | Accepting new patients | |
| Colville Nation Community Health Centers | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba Lake Roosevelt Community Health Centers
- Federally Qualified Health Center (FQHC)
- Inchelium, WA
- NPI 1043335961
TX
-
dba Lake Roosevelt Community Health Centers
- Federally Qualified Health Center (FQHC)
- Inchelium, WA
- NPI 1679697155
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Joseph Hospital
- Critical Access Hospital
- Chewelah, WA
- NPI 1750532321
-
dba Providence Mount Carmel Hospital
- Critical Access Hospital
- Colville, WA
- NPI 1003067679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539907200000",
"number": "1629544457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 SHORTCUT RD",
"city": "INCHELIUM",
"state": "WA",
"postal_code": "99138",
"telephone_number": "509-722-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 SHORTCUT RD",
"city": "INCHELIUM",
"state": "WA",
"postal_code": "99138",
"telephone_number": "509-722-6007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "DAVID",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-19",
"last_updated": "2018-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60878825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inchelium, WA
- Arielle Anastasia Cawston, DENTAL THERAPIST
- Colvile Nations Community Health Centers (Lake Roosevelt Community Health Centers Pharmacy)
- Colville Nation Community Health Center
- Colville Nation Community Health Centers (Lake Roosevelt Community Health Centers)
- Colville Nation Community Health Centers (Lake Roosevelt Community Health Centers)
- Confederate Tribes of the Colville Reservation (Lake Roosevelt Community Health Centers)
- Lorrie June Dawson, BS,MS,PHD, ARNP-BC
- Patrick Finley Jr.
- James Jason Graves, D.D.S.
- Aislinn Leah Hays, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.