Active NPI
Anika Cole Gannon, CNM, DNP, ARNP
- Nurse Practitioner
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61169082
- Practice address
- 900 Pacific Ave FL 5
Everett, WA 98201-4168 - Phone
- (425) 339-5430
- Fax
- (425) 339-5454
- NPI assigned
- Aug 10, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse | 163WW0101X | RN60867666 | WA | |
| Nurse Practitioner | 363L00000X | AP61169082 | WA | Primary |
| Advanced Practice Midwife | 367A00000X | AP61169082 | WA |
Addresses
Primary practice location
900 Pacific Ave FL 5
Everett, WA 98201-4168
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Pacific Ave
Everett, WA 98201-4168
Phone (425) 339-5430
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60867666 | WA | MD | Ambulatory Women's Health Care Registered Nurse |
| AP61169082 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| Bellegrove OB/GYN, Inc. PS | Past | Accepting new patients | |
| Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky | Past | Accepting new patients | |
| Optum Care Washington PLLC | Past | Accepting new patients | |
| The Polyclinic PLLC | Past | Accepting new patients | |
| Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky | Past | Accepting new patients | |
| Overlake Medical Clinics, LLC | Past | Accepting new patients |
Locations
1200 112th Ave NE
Ste C115
Bellevue, WA 98004
Phone (425) 455-0244
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311
900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900
9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777
1145 Broadway
Seattle, WA 98122
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900
Interoperability endpoints
- agannon70517@direct.tecmc.com
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
-
- Obstetrics & Gynecology Physician
- Bellevue, WA
- NPI 1104931039
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Non-Surgical Family Planning Clinic/Center
- Seattle, WA
- NPI 1083700686
-
- Durable Medical Equipment & Medical Supplies
- Seattle, WA
- NPI 1346620200
-
- Non-Surgical Family Planning Clinic/Center
- Honolulu, HI
- NPI 1558424473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1649945940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 PACIFIC AVE FL 5",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014168",
"telephone_number": "425-339-5430",
"fax_number": "425-339-5454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GANNON",
"first_name": "ANIKA",
"middle_name": "COLE",
"credential": "CNM, DNP, ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-10",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WW0101X",
"taxonomy_group": "",
"desc": "Registered Nurse, Women's Health Care, Ambulatory",
"state": "WA",
"license": "RN60867666",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61169082",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "WA",
"license": "AP61169082",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.