Individual provider Active NPI

David Colvin, ARNP

  • Family Nurse Practitioner
  • Inchelium, WA
National Provider Identifier
1629544457
Registry record updated Oct 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60878825 Issued in WA
Practice address
39 Shortcut Rd
Inchelium, WA 99138
Phone
(509) 722-6007
NPI assigned
Oct 19, 2018
Last updated
Oct 19, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190412000412 TX Practitioner - Nurse Practitioner 7012258411 Reassigns benefits to 1 organization

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 ReservationGroup PAC ID 1254332505, shared by 3 NPIs, 9 clinicians

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

LicenseStateTypeSpecialty
AP60878825WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Colville Nation Community Health Centers Current Accepting new patients
Colville Nation Community Health Centers CurrentSince Feb 6, 2019 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.

Hospital & facility affiliations 2

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": "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

Sources for this page

Verify at the official NPI Registry.