Active NPI
Janice M Sack-Ory, ARNP
- Adult Health Nurse Practitioner
- Federal Way, WA
National Provider Identifier
1689683930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30000117
- Practice address
- 34709 9TH Ave S
Ste B-500
Federal Way, WA 98003-6789 - Phone
- (253) 944-6950
- Fax
- (253) 661-8603
- NPI assigned
- Aug 5, 2006
- Last updated
- Nov 23, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30000117 | WA | Primary |
Addresses
Primary practice location
34709 9TH Ave S
Ste B-500
Federal Way, WA 98003-6789
Mailing address
34709 9TH Ave S
Ste B-500
Federal Way, WA 98003-6789
Phone (253) 944-6950
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8936934 | Other | WA | STATE CRIME VICTIMS |
| 0194359 | Other | WA | STATE L&I |
| 0160003 | Other | WA | STATE L&I |
| 160043862 | Other | WA | MEDICARE RAILROAD |
| 9634502 | Medicaid | WA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30000117 | WA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1689683930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34709 9TH AVE S",
"address_2": "STE B-500",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036789",
"telephone_number": "253-944-6950",
"fax_number": "253-661-8603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34709 9TH AVE S",
"address_2": "STE B-500",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036789",
"telephone_number": "253-944-6950",
"fax_number": "253-661-8603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACK-ORY",
"first_name": "JANICE",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-05",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30000117",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE CRIME VICTIMS",
"identifier": "8936934",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0194359",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "0160003",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "160043862",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9634502",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.