Individual provider Active NPI

Angela S Rideout, A.R.N.P.

  • Acute Care Nurse Practitioner
  • Everett, WA
National Provider Identifier
1750423554
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP30006959 Issued in WA
Practice address
1321 Colby Ave
Medical Staff Office
Everett, WA 98201-1665
Phone
(425) 261-2000
NPI assigned
Feb 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN00156414 WA
Nurse Practitioner 363L00000X AP30006959 WA
Acute Care Nurse Practitioner 363LA2100X AP30006959 WA Primary

Addresses

Primary practice location

1321 Colby Ave
Medical Staff Office
Everett, WA 98201-1665

Mailing address

PO Box 3360
Portland, OR 97208-3360
Phone (866) 366-2983

Other practice location 1

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5411

Other identifiers 2

IdentifierTypeStateIssuer
1092699MedicaidWA
9648007MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address arideout125155@wm.providencedirect.org Direct

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
I20060315000568 WA Practitioner - Nurse Practitioner 1759398811 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Health and Services- WashingtonGroup PAC ID 8325100480, 527 clinicians
Cardionow PLLCGroup PAC ID 1456862218, 7 clinicians

Practice addresses (Care Compare)

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000

19020 33Rd Ave W
Suite 250
Lynnwood, WA 98036-4746
Phone (404) 729-9108

Hospital & facility affiliations

  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN00156414WAMDNurse Practitioner
AP30006959WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services-Washington CurrentSince Jul 1, 2013 Accepting new patients
Providence Health & Services-Wa Current Accepting new patients
Cardionow PLLC CurrentSince Sep 22, 2025 Accepting new patients
Providence Health & Services - Washington CurrentSince Feb 15, 2017 Accepting new patients
BHC Fairfax Hospital Inc. CurrentSince Dec 22, 2014 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 14, 2008 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 14, 2008 Accepting new patients
Providence Health & Services-Wa Nurse Practitioner CurrentSince Jul 1, 2013 Accepting new patients
Providence Health & Services- Washington CurrentSince Feb 15, 2017 Accepting new patients
Yassir Sonbol, MD PA Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903

1321 Colby Ave
Ofc
Everett, WA 98201
Phone (425) 261-4076

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

916 Pacific Ave
Fl 7
Everett, WA 98201
Phone (425) 303-6500

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

10200 NE 132nd St
Kirkland, WA 98034
Phone (425) 821-2000

19020 33rd Ave W
Ste 250
Lynnwood, WA 98036
Phone (404) 729-9108

19020 33rd Ave W
Ste 550
Lynnwood, WA 98036
Phone (425) 458-0707

19020 33rd Ave W
Ste 230
Lynnwood, WA 98036
Phone (425) 458-0707

14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • Direct secure messaging: angela.rideout.1@27406.direct.athenahealth.com

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1750423554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360",
            "telephone_number": "866-366-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 COLBY AVE",
            "address_2": "MEDICAL STAFF OFFICE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011665",
            "telephone_number": "425-261-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Hoyt Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014918",
            "country_code": "US",
            "telephone_number": "425-339-5411",
            "fax_number": "425-339-5448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDEOUT",
        "first_name": "ANGELA",
        "middle_name": "S",
        "credential": "A.R.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN00156414",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30006959",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP30006959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1092699",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9648007",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "arideout125155@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3901 Hoyt Ave",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982014918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.