Individual provider Active NPI

Stefanie G Walker-Leu, FNP

  • Nurse Practitioner
  • Sequim, WA
National Provider Identifier
1699053041
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60711959 Issued in WA
Practice address
840 N 5TH Ave Ste 1400
Sequim, WA 98382
Phone
(360) 582-2930
Fax
(360) 582-2931
NPI assigned
Aug 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60711959 WA Primary

Addresses

Primary practice location

840 N 5TH Ave Ste 1400
Sequim, WA 98382

Mailing address

PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 565-9237

Other identifiers 1

IdentifierTypeStateIssuer
648774MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120105000649 AZ Practitioner - Nurse Practitioner 4688840010 Reassigns benefits to 1 organization
I20170307001402 WA Practitioner - Nurse Practitioner 4688840010 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Jul 25, 2018 Accepting new patients
Northwest Allied Physicians LLC CurrentSince Jan 11, 2016 Accepting new patients
Northwest Allied Physicians, LLC CurrentSince Jan 11, 2016 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jul 25, 2018 Accepting new patients

Locations

16701 N Oracle Rd
Ste 135
Tucson, AZ 85739
Phone (520) 682-1095

3690 S Park Ave
Ste 805
Tucson, AZ 85713
Phone (520) 616-1560

1670 W Ruthrauff Rd
Tucson, AZ 85705
Phone (520) 616-6797

13101 N Oracle Rd
Ste 100
Tucson, AZ 85739
Phone (520) 797-9850

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1699053041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620146",
            "telephone_number": "360-565-9237",
            "fax_number": "360-565-9241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 N 5TH AVE STE 1400",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "98382",
            "telephone_number": "360-582-2930",
            "fax_number": "360-582-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER-LEU",
        "first_name": "STEFANIE",
        "middle_name": "G",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-02",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60711959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "648774",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.