Debra Ann Phelps, CNM, ARNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

AP30003862 Issued in WA

Practice address

320 Westlake Ave N
Suite 100
Seattle, WA 98109-5232

Phone

(206) 448-5542

NPI assigned

Jan 9, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

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.

• Center for Womens Health at Evergreen

  • Obstetrics & Gynecology Physician
  • Kirkland, WA
  • NPI 1619070497
  NPD (past)

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275436800000",
    "number": "1659359677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18717 22ND DR SE",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128729",
            "telephone_number": "425-503-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 WESTLAKE AVE N",
            "address_2": "SUITE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095232",
            "telephone_number": "206-448-5542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHELPS",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "CNM, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-09",
        "last_updated": "2010-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP30003862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9618133",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phase 3 Counseling & Consultation PLLC
• Kanyarat Phatcharaphuwadin, LMT
• Elizabeth Anne Phelan
• Kathleen Frances Phelan, ARNP
• Casey Phelps
• Erin Phelps, MS, RD
• Josiah Phelps
• Kelly Marie Phelps
• Lee Mark Phelps, DC
• Linda Louise Phelps, LAC, EAMP, DIPL AC

• Obstetrics & Gynecology Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.