Sara Ann Martin-Washo, ARNP, RN, RPSGT, RRT
Individual provider Active NPI Family Nurse Practitioner · Inchelium, WA
NPI 1679973937 · NPPES record last updated Jan 18, 2023
Key facts
- NPI
- 1679973937
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP61359225 (WA)
- Practice address
- 39 Shortcut Rd
Inchelium, WA 98138-0290 - Phone
- (509) 722-7006
- NPI assigned
- Aug 23, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Columbia Lutheran Charities
JD Health and Wellness Center
Practice addresses (Care Compare)
1639 SE Ensign LN
Warrenton, OR 97146-7308
Phone (503) 338-4500
608 Lancaster Dr SE
Salem, OR 97317-5643
Phone (503) 877-1995
Hospital & facility affiliations
- Columbia Memorial Hospital
- Salem Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in TX, WA, OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230324000842 | TX | Practitioner - Nurse Practitioner | 5092188508 | Reassigns benefits to 1 organization |
| I20241003001420 | WA | Practitioner - Nurse Practitioner | 5092188508 | Reassigns benefits to 1 organization |
| I20250730002915 | OR | Practitioner - Nurse Practitioner | 5092188508 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 60225874 | WA | MD | General Practice Registered Nurse |
| LR 00002646 | WA | MD | Certified Respiratory Therapist |
| AP61359225 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colville Nation Community Health Centers | Current |
Accepting new patients | |
| Columbia Lutheran Charities | Current |
Accepting new patients | |
| New Health Programs Association | Current |
Accepting new patients | |
| New Health Programs Association | Current | Accepting new patients | |
| New Health Programs Association | Current |
Accepting new patients | |
| Colville Nation Community Health Centers | Current |
Accepting new patients | |
| JD Health and Wellness Center, Inc | Nurse Practitioner | Current |
Accepting new patients |
| Columbia Lutheran Charities | Current | Accepting new patients | |
| Columbia Lutheran Charities | Health Educator | Past | Accepting new patients |
| Columbia Lutheran Charities | Past | Accepting new patients |
Locations
2265 Exchange St
Astoria, OR 97103
Phone (503) 338-4075
2111 Exchange St
Astoria, OR 97103
Phone (503) 325-4321
608 Lancaster Dr SE
Salem, OR 97317
Phone (503) 399-7474
1111 N Roosevelt Dr
Ste 210
Seaside, OR 97138
Phone (503) 738-3002
1639 SE Ensign Ln
Ste B103
Warrenton, OR 97146
Phone (503) 338-4500
518 E Clay Ave
Chewelah, WA 99109
Phone (509) 935-6004
3994 Colville Rd
Loon Lake, WA 99148
Phone (509) 233-8412
114 S Main St
Springdale, WA 99173
Phone (509) 258-4234
Interoperability endpoints
- sara.martinwasho.p100@direct.wvp.nextgenshare.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- https://fhir4.healow.com/fhir/r4/ICJGCD/Endpoint/ICJGCD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | RN 60225874 | WA | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN 60225874 | WA | |
| Continence Care Registered Nurse | 163WC2100X | RN 60225874 | WA | |
| General Practice Registered Nurse | 163WG0000X | RN 60225874 | WA | |
| Wound Care Registered Nurse | 163WW0000X | RN 60225874 | WA | |
| Health Educator | 174H00000X | RN 60225874 | WA | |
| Public Health & General Preventive Medicine Physician | 2083P0901X | AP61359225 | WA | |
| Certified Respiratory Therapist | 227800000X | LR 00002646 | WA | |
| Registered Respiratory Therapist | 227900000X | LR 00002646 | WA | |
| General Care Registered Respiratory Therapist | 2279G1100X | LR 00002646 | WA | |
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | LR 00002646 | WA | |
| Nurse Practitioner | 363L00000X | AP61359225 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP61359225 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61359225 | WA | Yes |
Addresses
Primary practice location
39 Shortcut Rd
Inchelium, WA 98138-0290
Mailing address
60 Columbia Dr
Kettle Falls, WA 99141-9461
Phone (206) 550-5871
Other practice location 1
21035 5th Ave S
Des Moines, WA 98198-3630
Phone (206) 550-5871
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679973937 | Medicaid | WA |
Other providers in Inchelium, WA
- Molly Beth Henning
- Inchelium School District #70
- Leslie Ann Lahr
- Lake Roosevelt Community Health Centers
- Thomas Lilly
- Tanya Marie Mason
- Gary S May
- Angela L McClain
- Johanna Miller
- Diane Carol Mills
All providers in Inchelium, WA · Family Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.