Individual provider Active NPI

Anna Marie Peters, NURSE PRACTITIONER

  • Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1649363433
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60430886 Issued in WA
Practice address
1345 King St
Bellingham, WA 98229-6223
Phone
(360) 676-1696
Fax
(360) 676-6636
NPI assigned
Oct 2, 2006
Last updated
Feb 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CA 14687 CA
Family Nurse Practitioner 363LF0000X 201150021NP OR
Nurse Practitioner 363L00000X AP60430886 WA Primary

Addresses

Primary practice location

1345 King St
Bellingham, WA 98229-6223

Mailing address

1345 King St
Bellingham, WA 98229-6223
Phone (360) 676-1696

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
I20140703001326 WA Practitioner - Nurse Practitioner 4385748821 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northstar Associates, PLLCGroup PAC ID 0840196564, 3 clinicians

Practice addresses (Care Compare)

1345 King St
Bellingham, WA 98229-6223
Phone (360) 676-1696

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14687CAMDMental Health Occupational Therapist
CA 14687CAMDFamily Nurse Practitioner
201150021NPORMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Associates, PLLC CurrentSince Feb 8, 2016 Accepting new patients
Northstar Associates PastSince Feb 8, 2016 Accepting new patients

Locations

1345 King St
Bellingham, WA 98229
Phone (360) 676-1696

Interoperability endpoints

  • Direct secure messaging: anna.peters.1@1250.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1250/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1649363433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 KING ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296223",
            "telephone_number": "360-676-1696",
            "fax_number": "360-676-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 KING ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982296223",
            "telephone_number": "360-676-1696",
            "fax_number": "360-676-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "CA 14687",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201150021NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60430886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.