Individual provider Active NPI

Amanda Ray, NP

  • Acute Care Nurse Practitioner
  • Shoreline, WA
National Provider Identifier
1770913022
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
60404026 Issued in WA
Practice address
118 NW 188TH St
Shoreline, WA 98177-3033
Phone
(847) 347-6419
NPI assigned
Nov 24, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 60404026 WA Primary

Addresses

Primary practice location

118 NW 188TH St
Shoreline, WA 98177-3033

Mailing address

118 NW 188TH St
Shoreline, WA 98177-3033
Phone (847) 347-6419

Other practice location 1

1221 Madison St Fl 10
Seattle, WA 98104-3588
Phone (206) 215-2658

Other practice location 2

550 17th Ave Fl 6
Seattle, WA 98122-5788
Phone (206) 215-4545

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aray1043023@wm.providencedirect.org Direct
Direct Messaging Address aray1043023@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
I20140221001624 WA Practitioner - Nurse Practitioner 4981834785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 7517870645, 79 clinicians

Practice addresses (Care Compare)

550 17TH Ave
FL 6
Seattle, WA 98122-5788
Phone (206) 861-8550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
80.66
Promoting interoperability
100
Improvement activities
40
Cost
77.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60404026WAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: aray1043023@wm.providencedirect.org

Organizations & group practices 2

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 5

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": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1770913022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NW 188TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773033",
            "telephone_number": "847-347-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 NW 188TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981773033",
            "telephone_number": "847-347-6419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 Madison St Fl 10",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043588",
            "country_code": "US",
            "telephone_number": "206-215-2658",
            "fax_number": "206-991-2041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 17th Ave Fl 6",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225788",
            "country_code": "US",
            "telephone_number": "206-215-4545",
            "fax_number": "206-215-4550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAY",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-24",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "60404026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aray1043023@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1221 Madison St Fl 10",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aray1043023@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "550 17th Ave Fl 6",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981225788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.