Individual provider Active NPI

Angela Taylor, ARNP

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1649778341
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60824099 Issued in WA
Practice address
1616 Cornwall Ave Ste 100
Bellingham, WA 98225-4642
Phone
(360) 676-6177
NPI assigned
Jan 28, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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 AP60824099 WA Primary

Addresses

Primary practice location

1616 Cornwall Ave Ste 100
Bellingham, WA 98225-4642

Mailing address

PO Box 29715
Bellingham, WA 98228-1715
Phone (360) 325-9854

Other practice location 1

1530 Ellis St
Bellingham, WA 98225-4905
Phone (360) 734-9095

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
I20180821001423 WA Practitioner - Nurse Practitioner 8820347065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Care NorthwestGroup PAC ID 7911897699, 39 clinicians

Practice addresses (Care Compare)

1616 Cornwall Ave
Bellingham, WA 98225-4648
Phone (360) 676-6177

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of Greater Washington and North Idaho CurrentSince Jul 11, 2018 Accepting new patients
Unity Care Northwest CurrentSince Nov 16, 2020 Accepting new patients
Unity Care Northwest CurrentSince Nov 16, 2020 Accepting new patients
Unity Care Northwest Current Accepting new patients

Locations

1616 Cornwall Ave
Bellingham, WA 98225
Phone (360) 305-3275

1616 Cornwall Ave
Ste 100
Bellingham, WA 98225
Phone (360) 305-3275

1530 Ellis St
Bellingham, WA 98225
Phone (360) 714-1149

1509 Cornwall Ave
Bellingham, WA 98225
Phone (360) 603-7708

1616 Cornwall Ave
Ste 205
Bellingham, WA 98225
Phone (360) 656-6177

220 Unity St
Bellingham, WA 98225
Phone (206) 540-7494

6060 Portal Way
Ferndale, WA 98248
Phone (360) 752-7408

1805 E Division St
Mount Vernon, WA 98274
Phone (360) 428-2020

Interoperability endpoints

  • Direct secure messaging: ataylor748731@direct.ochin.org

Organizations & group practices 4

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": "1517097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1649778341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 29715",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982281715",
            "telephone_number": "360-325-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 CORNWALL AVE STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254642",
            "telephone_number": "360-676-6177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1530 Ellis St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982254905",
            "country_code": "US",
            "telephone_number": "360-734-9095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANGELA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-28",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60824099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.