Active NPI
Stephen A Hull, ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Richland, WA
National Provider Identifier
1639429798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60311606
- Practice address
- 560 Gage Blvd Ste 206
Kadlec Clinic South Richland Primary Care
Richland, WA 99352 - Phone
- (509) 942-3286
- Fax
- (509) 628-1354
- NPI assigned
- Sep 17, 2012
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60311606 | WA | Primary |
Addresses
Primary practice location
560 Gage Blvd Ste 206
Kadlec Clinic South Richland Primary Care
Richland, WA 99352
Mailing address
560 Gage Blvd
Ste 203
Richland, WA 99352
Phone (509) 942-3627
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP60311606 | Other | WA | ARNP |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | shull1108723@wm.providencedirect.org | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60311606 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Interoperability endpoints
- shull1108723@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621555200000",
"number": "1639429798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 GAGE BLVD",
"address_2": "STE 203",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-942-3627",
"fax_number": "509-942-2268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 GAGE BLVD STE 206",
"address_2": "KADLEC CLINIC SOUTH RICHLAND PRIMARY CARE",
"city": "RICHLAND",
"state": "WA",
"postal_code": "99352",
"telephone_number": "509-942-3286",
"fax_number": "509-628-1354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HULL",
"first_name": "STEPHEN",
"middle_name": "A",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-17",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60311606",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "AP60311606",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "shull1108723@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "560 Gage Blvd Ste 206",
"address_2": "Kadlec Clinic South Richland Primary Care",
"city": "Richland",
"state": "WA",
"country_code": "US",
"postal_code": "99352",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.