Catherine Michelle Mizen, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30005709 Issued in WA

Practice address

1500 Commercial Ave
Anacortes, WA 98221-2235

Phone

(360) 299-2650

Fax

(360) 299-2651

NPI assigned

Nov 21, 2005

Last updated

Oct 22, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, AK2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: catherine.mizen.1@32512.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fidalgo Island Walk-in Clinic

  • Health Service Clinic/Center
  • Anacortes, WA
  • NPI 1801912241
  Authorized official Same address or phone

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1760465025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 COMMERCIAL AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212235",
            "telephone_number": "360-299-2650",
            "fax_number": "360-299-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COMMERCIAL AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212235",
            "telephone_number": "360-299-2650",
            "fax_number": "360-299-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZEN",
        "first_name": "CATHERINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-21",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mallory Ruth Metzger, M.S., CCC-SLP
• Tara Janell Milas, LMP
• Elizabeth Miller, PA-C
• Kailee Miller
• Peggy Suzanne Miller, RN, ARNP-FNP
• Robert Mizen, ARNP
• Kelly Dunn Moloney, MA,LMHC,CMHS
• Greg G. Monaghan, M.D.
• William James Monteforte Jr., MD
• Miranda T Montellano, DNP, ARNP, CNM

• Family Nurse Practitioner in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.