Active NPI
Michele E. Acker, ARNP
- Pediatric Nurse Practitioner
- Seattle, WA
National Provider Identifier
1720019094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP30003692
- Practice address
- 4800 Sand Point Way NE
Seattle, WA 98105-3901 - Phone
- (206) 987-2728
- Fax
- (206) 987-2060
- NPI assigned
- Jul 5, 2006
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30003692 | WA | |
| Pediatric Nurse Practitioner | 363LP0200X | AP30003692 | WA | Primary |
| Registered Nurse | 163W00000X | RN00058280 | WA |
Addresses
Primary practice location
4800 Sand Point Way NE
Seattle, WA 98105-3901
Mailing address
319 NE 55TH St
Seattle, WA 98105-3735
Phone (206) 390-4308
Other practice location 1
325 9th Ave
Box 359726
Seattle, WA 98104-2420
Phone (206) 744-9888
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28888U | Other | WA | REGENCE BLUE SHIELD PIN |
| 0171998 | Other | WA | L&I PIN |
| 9615329 | Medicaid | WA |
Other names 1
- Michele E. Thornton
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1720019094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 NE 55TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053735",
"telephone_number": "206-390-4308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-2728",
"fax_number": "206-987-2060"
}
],
"practiceLocations": [
{
"address_1": "325 9th Ave",
"address_2": "Box 359726",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042420",
"country_code": "US",
"telephone_number": "206-744-9888",
"fax_number": "206-744-9773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ACKER",
"first_name": "MICHELE",
"middle_name": "E.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30003692",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP30003692",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00058280",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "28888U",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PIN",
"identifier": "0171998",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9615329",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELE",
"last_name": "THORNTON",
"middle_name": "E.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.