Individual provider Active NPI

Antonia Rose Powicki, DNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1699651349
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07251307 Issued in WA
Practice address
1040 S Henderson St
Seattle, WA 98108-4720
Phone
(425) 616-4100
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F07251307 WA Primary

Addresses

Primary practice location

1040 S Henderson St
Seattle, WA 98108-4720

Mailing address

1040 S Henderson St
Seattle, WA 98108-4720

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251201003063 WA Practitioner - Nurse Practitioner 6406349224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765
Phone (425) 616-4100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F07251307WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers CurrentSince Oct 7, 2025 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients
Sea Mar Community Health Centers PastSince Jun 23, 2024 Accepting new patients

Locations (25 of 34)

1813 Sumner Ave
Aberdeen, WA 98520
Phone (360) 538-1293

118 S Parkway Ave
Battle Ground, WA 98604
Phone (360) 342-8050

3801 150th Ave SE
Bellevue, WA 98006
Phone (425) 460-7140

4455 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 671-3225

515 W Main St
Elma, WA 98541
Phone (360) 482-5298

1920 100th St SE
Ste B
Everett, WA 98208
Phone (425) 312-0202

6884 Hannegan Rd
Everson, WA 98247
Phone (360) 354-0766

31405 18th Ave S
Federal Way, WA 98003
Phone (253) 681-6600

233 2nd Ave S
Kent, WA 98032
Phone (206) 436-6380

669 Woodland Square Loop SE
Lacey, WA 98503
Phone (360) 359-4840

4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100

9710 State Ave
Marysville, WA 98270
Phone (360) 653-1742

17707 W Main St
#1
Monroe, WA 98272
Phone (360) 282-3885

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

125 N 18th St
Ste A
Mount Vernon, WA 98273
Phone (360) 428-3068

3622 Ensign Rd NE
Olympia, WA 98506
Phone (360) 742-5000

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

10217 125th Street Ct E
Fl 2
Puyallup, WA 98374
Phone (253) 864-4550

1040 S Henderson St
Seattle, WA 98108
Phone (206) 763-5210

9650 15th Ave SW
Ste 100
Seattle, WA 98106
Phone (206) 965-1000

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

9635 Des Moines Memorial Dr
Seattle, WA 98108
Phone (206) 474-2001

225 176th St S
Spanaway, WA 98387
Phone (253) 240-2130

7424 Bridgeport Way W
Tacoma, WA 98499
Phone (253) 581-2111

14916 Washington Ave SW
Tacoma, WA 98498
Phone (253) 280-9890

Interoperability endpoints

  • Direct secure messaging: apowicki862542@direct.multicare.org

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": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1699651349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 S HENDERSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S HENDERSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981084720",
            "telephone_number": "425-616-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWICKI",
        "first_name": "ANTONIA",
        "middle_name": "ROSE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "F07251307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.