Individual provider Active NPI

Christina Lorene Wolf, AGACNP

  • Acute Care Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1639676992
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
NP95007820 Issued in CA
Practice address
1344 King St Ste 104
Bellingham, WA 98229-6215
Phone
(360) 594-4002
Fax
(360) 594-4006
NPI assigned
Apr 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60812900 WA
Acute Care Nurse Practitioner 363LA2100X 60829939 WA
Acute Care Nurse Practitioner 363LA2100X NP95007820 CA Primary

Addresses

Primary practice location

1344 King St Ste 104
Bellingham, WA 98229-6215

Mailing address

1344 King St
Bellingham, WA 98229-6215
Phone (360) 594-4002

Other practice location 1

4731 Moonglow Pl
Blaine, WA 98230-6503
Phone (415) 290-0781

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
I20250415002160 WA Practitioner - Nurse Practitioner 8022373513 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60812900WAMDRegistered Nurse
NP95007820CAMDAcute Care Nurse Practitioner
60829939WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Post Acute Medical PLLC CurrentSince Jan 4, 2025 Accepting new patients
Altea Medical Washington PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

2821 S Walden St
Seattle, WA 98144
Phone (206) 577-6200

6025 N Assembly St
Spokane, WA 99205
Phone (509) 326-8282

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529884800000",
    "number": "1639676992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1344 KING ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296215",
            "telephone_number": "360-594-4002",
            "fax_number": "360-594-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1344 KING ST STE 104",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296215",
            "telephone_number": "360-594-4002",
            "fax_number": "360-594-4006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4731 Moonglow Pl",
            "address_purpose": "LOCATION",
            "city": "Blaine",
            "state": "WA",
            "postal_code": "982306503",
            "country_code": "US",
            "telephone_number": "415-290-0781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLF",
        "first_name": "CHRISTINA",
        "middle_name": "LORENE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60812900",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "60829939",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "NP95007820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.