Individual provider Active NPI

Haley Nadene Scellick, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1710407853
Registry record updated Jan 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60757019 Issued in WA
Practice address
2225 W Wellesley Ave Ste 103
Spokane, WA 99205-5011
Phone
(509) 266-3701
Fax
(866) 510-7929
NPI assigned
Jun 20, 2017
Last updated
Jan 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X AP60757019 WA
Family Nurse Practitioner 363LF0000X AP60757019 WA Primary

Addresses

Primary practice location

2225 W Wellesley Ave Ste 103
Spokane, WA 99205-5011

Mailing address

2225 W Wellesley Ave Ste 103
Spokane, WA 99205-5011
Phone (509) 266-3701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2021 through Jul 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP60757019WAMDAdult Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737849600000",
    "number": "1710407853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W WELLESLEY AVE STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992055011",
            "telephone_number": "509-266-3701",
            "fax_number": "866-510-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W WELLESLEY AVE STE 103",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992055011",
            "telephone_number": "509-266-3701",
            "fax_number": "866-510-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCELLICK",
        "first_name": "HALEY",
        "middle_name": "NADENE",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2025-01-26",
        "certification_date": "2025-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "WA",
            "license": "AP60757019",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60757019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.