Individual provider Active NPI

Sierra L Stuart, FNP

  • Family Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1750913489
Registry record updated Sep 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61028185 Issued in WA
Practice address
2312 NE 129TH St
Vancouver, WA 98686-3236
Phone
(360) 546-8937
NPI assigned
Feb 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201907158NP-PP OR
Family Nurse Practitioner 363LF0000X AP61028185 WA Primary

Addresses

Primary practice location

2312 NE 129TH St
Vancouver, WA 98686-3236

Mailing address

27003 NE 119TH Ave
Battle Ground, WA 98604-6539
Phone (360) 597-6944

Other practice location 1

27003 NE 119th Ave
Battle Ground, WA 98604-6539
Phone (360) 597-6944 ext. 36059

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
I20201020000942 WA Practitioner - Nurse Practitioner 7012337645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Vancouver Clinic Inc PSGroup PAC ID 3173436490, 580 clinicians

Practice addresses (Care Compare)

2525 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201907158NP-PPORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Vancouver Clinic Inc PS Family Medicine CurrentSince May 14, 2024 Accepting new patients
The Vancouver Clinic Inc PS CurrentSince May 14, 2024 Accepting new patients
The Vancouver Clinic Pharmacy Past Accepting new patients

Locations

2525 NE 139th St
Ste 140
Vancouver, WA 98686
Phone (360) 822-2778

2312 NE 129th St
Vancouver, WA 98686
Phone (360) 546-8950

2525 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1500

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500

Interoperability endpoints

  • Direct secure messaging: sstuart24044@tvc-direct.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601251200000",
    "number": "1750913489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27003 NE 119TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986046539",
            "telephone_number": "360-597-6944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 NE 129TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986863236",
            "telephone_number": "360-546-8937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27003 NE 119th Ave",
            "address_purpose": "LOCATION",
            "city": "Battle Ground",
            "state": "WA",
            "postal_code": "986046539",
            "country_code": "US",
            "telephone_number": "360-597-6944 x36059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STUART",
        "first_name": "SIERRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-11",
        "last_updated": "2020-09-28",
        "certification_date": "2020-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "201907158NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61028185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.