Active NPI
John Forrest Bennett, ARNP
- Pediatric Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP 60291199
- Practice address
- 4800 Sand Point Way NE
M/S W-6847
Seattle, WA 98105-3901 - Phone
- (206) 987-8062
- NPI assigned
- Aug 2, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP 60291199 | WA | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
M/S W-6847
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE
M/S W-6847
Seattle, WA 98105-3901
Phone (206) 987-8062
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 60291199 | WA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Shriners Hospitals for Children | Past | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336
4800 Sand Point Way NE
#W6847
Seattle, WA 98105
Phone (206) 987-8062
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
911 W 5th Ave
Spokane, WA 99204
Phone (509) 455-7844
Organizations & group practices 9
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- Pediatric Orthopaedic Surgery Physician
- Spokane, WA
- NPI 1205278199
-
- Pediatrics Physician
- Tacoma, WA
- NPI 1033162383
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Seattle, WA
- NPI 1811041692
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Orthopaedic Surgery Physician
- Lexington, KY
- NPI 1700223559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343865600000",
"number": "1689920027",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "M/S W-6847",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "M/S W-6847",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-8062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENNETT",
"first_name": "JOHN",
"middle_name": "FORREST",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-02",
"last_updated": "2012-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP 60291199",
"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 Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.