Individual provider Active NPI

Whitney Anne Archibald, M.D.

  • Obstetrics & Gynecology Physician
  • Burien, WA
National Provider Identifier
1679916217
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
60727654 Issued in WA
Practice address
16045 1St Ave S FL 2
Burien, WA 98148-1401
Phone
(206) 965-4200
NPI assigned
Apr 13, 2013
Last updated
Nov 12, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 60727654 WA Primary

Addresses

Primary practice location

16045 1St Ave S FL 2
Burien, WA 98148-1401

Mailing address

16045 1St Ave S FL 2
Burien, WA 98148-1401
Phone (206) 965-4200

Other practice location 1

4550 Fauntleroy Way SW Ste 100
Seattle, WA 98126-2740
Phone (206) 403-1601

Other identifiers 1

IdentifierTypeStateIssuer
2076972MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address warchibald243781@fhsce.catholichealth.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170821002413 WA Practitioner - Obstetrics/Gynecology 9638441983 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Washington School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970

34503 9TH Ave S
Federal Way, WA 98003-8726

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60727654WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Jul 31, 2017 Accepting new patients
Franciscan Medical Group Past Accepting new patients
Highline Medical Center Past Accepting new patients

Locations

16045 1st Ave S
Fl 2
Burien, WA 98148
Phone (206) 965-4200

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

4550 Fauntleroy Way SW
Ste 100
Seattle, WA 98126
Phone (206) 403-1601

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1365811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605139200000",
    "number": "1679916217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16045 1ST AVE S FL 2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481401",
            "telephone_number": "206-965-4200",
            "fax_number": "206-965-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16045 1ST AVE S FL 2",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481401",
            "telephone_number": "206-965-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 Fauntleroy Way SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981262740",
            "country_code": "US",
            "telephone_number": "206-403-1601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARCHIBALD",
        "first_name": "WHITNEY",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-13",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "60727654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2076972",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "warchibald243781@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "16045 1st Ave S Fl 2",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981481401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.