Active NPI
Suzanne Gillis, CNM, ARNP
- Women's Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1689612038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP30005833
- Practice address
- 1801 NW Market St
Suite 207
Seattle, WA 98107-3987 - Phone
- (206) 781-6080
- Fax
- (206) 781-6285
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30005833 | WA | Primary |
Addresses
Primary practice location
1801 NW Market St
Suite 207
Seattle, WA 98107-3987
Mailing address
1046 NE 88TH St
Seattle, WA 98115-3021
Phone (206) 325-6928
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
- Certified Nurse Midwife, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Medical Group Inc | Women'S Health | Past | Accepting new patients |
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208131200000",
"number": "1689612038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1046 NE 88TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981153021",
"telephone_number": "206-325-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 NW MARKET ST",
"address_2": "SUITE 207",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073987",
"telephone_number": "206-781-6080",
"fax_number": "206-781-6285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIS",
"first_name": "SUZANNE",
"credential": "CNM, ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2008-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30005833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.