Individual provider Active NPI

Robert Bryan Netjes, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1699907477
Registry record updated Aug 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60098101 Issued in WA
Practice address
2416 W Bruce Ave
Spokane, WA 99208-4417
Phone
(509) 326-3582
NPI assigned
Aug 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2009

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 AP60098101 WA Primary

Addresses

Primary practice location

2416 W Bruce Ave
Spokane, WA 99208-4417

Mailing address

2416 W Bruce Ave
Spokane, WA 99208-4417
Phone (509) 326-3582

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
I20160330002559 WA Order and Referring Only - Nurse Practitioner 5890092118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1250121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250121600000",
    "number": "1699907477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 W BRUCE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084417",
            "telephone_number": "509-326-3582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 W BRUCE AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992084417",
            "telephone_number": "509-326-3582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NETJES",
        "first_name": "ROBERT",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-13",
        "last_updated": "2009-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60098101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.