Individual provider Active NPI

Aaron Marcus Ivan Druck, FNP-C

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1730588096
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP-02518 Issued in NM
Practice address
3845 Beach Dr SW Apt 1
Seattle, WA 98116-3521
Phone
(720) 393-9032
NPI assigned
Aug 22, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60474380 WA
Family Nurse Practitioner 363LF0000X CNP-02518 NM Primary

Addresses

Primary practice location

3845 Beach Dr SW Apt 1
Seattle, WA 98116-3521

Mailing address

3845 Beach Dr SW Apt 1
Seattle, WA 98116-3521
Phone (720) 393-9032

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

State licenses

LicenseStateTypeSpecialty
CNP-02518NMMDFamily Nurse Practitioner
60474380WAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1408665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1730588096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3845 BEACH DR SW APT 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163521",
            "telephone_number": "720-393-9032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 BEACH DR SW APT 1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981163521",
            "telephone_number": "720-393-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRUCK",
        "first_name": "AARON",
        "middle_name": "MARCUS IVAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-22",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60474380",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-02518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 27, 2016; 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.