Individual provider Active NPI

Sarah C Gollhofer, ARNP

  • Family Nurse Practitioner
  • Bonney Lake, WA
National Provider Identifier
1669700076
Registry record updated May 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60125637 Issued in WA
Practice address
10004 204TH Ave E
Ste 2300
Bonney Lake, WA 98391-6539
Phone
(253) 447-3333
NPI assigned
Nov 23, 2009
Last updated
May 14, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2012

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 AP60125637 WA Primary

Addresses

Primary practice location

10004 204TH Ave E
Ste 2300
Bonney Lake, WA 98391-6539

Mailing address

10004 204TH Ave E
Ste 2300
Bonney Lake, WA 98391-6539
Phone (253) 447-3333

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
I20100702000465 WA Practitioner - Nurse Practitioner 1254462450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
King County FinanceGroup PAC ID 8022913789, 31 clinicians

Practice addresses (Care Compare)

14350 SE Eastgate Way
Bellevue, WA 98007-6458
Phone (206) 477-8000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
King County Finance CurrentSince Aug 24, 2015 Accepting new patients
King County Finance CurrentSince Aug 24, 2015 Accepting new patients
Seattle King Co Dept of Public Health Past Accepting new patients

Locations

14350 SE Eastgate Way
Bellevue, WA 98007
Phone (206) 296-9754

2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755

401 5th Ave
Ste 1000
Seattle, WA 98104
Phone (206) 263-8298

401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975

Interoperability endpoints

  • Direct secure messaging: sgollhofer119769@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1669700076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E",
            "address_2": "STE 2300",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916539",
            "telephone_number": "253-447-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 204TH AVE E",
            "address_2": "STE 2300",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916539",
            "telephone_number": "253-447-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLLHOFER",
        "first_name": "SARAH",
        "middle_name": "C",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-23",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60125637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

Verify at the official NPI Registry.