Active NPI
Harpreet Nagra, MD
- Pediatrics Physician
- Bellingham, WA
National Provider Identifier
1679717672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD60522342
- Practice address
- 4545 Cordata Pkwy
Ste 1F
Bellingham, WA 98226-7263 - Phone
- (360) 738-2200
- Fax
- (360) 752-5679
- NPI assigned
- Apr 22, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 14404 | NV | |
| Pediatrics Physician | 208000000X | MD60522342 | WA | Primary |
Addresses
Primary practice location
4545 Cordata Pkwy
Ste 1F
Bellingham, WA 98226-7263
Mailing address
1115 SE 164TH Ave
Dept 358
Vancouver, WA 98683-9324
Phone (360) 738-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679717672 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60522342 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Past | Accepting new patients |
Interoperability endpoints
- hnagra71875@direct.peacehealth.org
Organizations & group practices 1
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
- Bellingham, WA
- NPI 1457553497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427068800000",
"number": "1679717672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE",
"address_2": "DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839324",
"telephone_number": "360-738-2200",
"fax_number": "360-752-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 CORDATA PKWY",
"address_2": "STE 1F",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982267263",
"telephone_number": "360-738-2200",
"fax_number": "360-752-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAGRA",
"first_name": "HARPREET",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-22",
"last_updated": "2015-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "14404",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60522342",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1679717672",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.