Individual provider Active NPI

Fairleth Patricia McCuaig, ARNP

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1699825463
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007046 Issued in WA
Practice address
910 Harris Ave
Suite 102
Bellingham, WA 98225-7008
Phone
(360) 734-2131
Fax
(360) 527-2187
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AP30007046 WA Primary

Addresses

Primary practice location

910 Harris Ave
Suite 102
Bellingham, WA 98225-7008

Mailing address

805 Coylton Place
Port Moody, BRITISH COLUMBIA V3H1A9
CA
Phone (604) 936-7572

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30007046WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Health PS Family PastSince Sep 15, 2009 Accepting new patients
Birchwood Womens Health PS Past Accepting new patients

Organizations & group practices 2

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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699825463",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "805 COYLTON PLACE",
            "city": "PORT MOODY",
            "state": "BRITISH COLUMBIA",
            "postal_code": "V3H1A9",
            "telephone_number": "604-936-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 HARRIS AVE",
            "address_2": "SUITE 102",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257008",
            "telephone_number": "360-734-2131",
            "fax_number": "360-527-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUAIG",
        "first_name": "FAIRLETH",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.