Active NPI
Sarah Dinneen Anderson, ARNP
- Family Nurse Practitioner
- Mattawa, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61550139
- Practice address
- 601 Government Rd
Mattawa, WA 99349-5120 - Phone
- (509) 488-5256
- Fax
- (509) 488-9939
- NPI assigned
- Jul 10, 2024
- Last updated
- Jul 31, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61550139 | WA | Primary |
Addresses
Primary practice location
601 Government Rd
Mattawa, WA 99349-5120
Mailing address
1515 E Columbia St
Othello, WA 99344-1846
Phone (509) 488-5256
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
- Washington University School of Medicine, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1515 E Columbia St
Othello, WA 99344-1846
Phone 50948852568512
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Basin Health Association | Family | Current | Accepting new patients |
| Columbia Basin Health Association | Current | Accepting new patients | |
| Columbia Basin Health Association | Current | Accepting new patients |
Locations
601 Government Rd
Mattawa, WA 99349
Phone 5094885256 ext. 8512
1515 E Columbia St
Othello, WA 99344
Phone (509) 488-5250
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Eagle Eye Care
- Federally Qualified Health Center (FQHC)
- Connell, WA
- NPI 1528316379
-
- Federally Qualified Health Center (FQHC)
- Pasco, WA
- NPI 1225716947
Family
-
- Federally Qualified Health Center (FQHC)
- Othello, WA
- NPI 1619915006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1659118255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E COLUMBIA ST",
"city": "OTHELLO",
"state": "WA",
"postal_code": "993441846",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 GOVERNMENT RD",
"city": "MATTAWA",
"state": "WA",
"postal_code": "993495120",
"telephone_number": "509-488-5256",
"fax_number": "509-488-9939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "SARAH",
"middle_name": "DINNEEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-10",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61550139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattawa, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.