Active NPI
Barbara Jean Severson, ARNP
- Adult Health Nurse Practitioner
- Kirkland, WA
National Provider Identifier
1780630640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30004455
- Practice address
- 12333 NE 130TH LN
Suite 225
Kirkland, WA 98034-7467 - Phone
- (425) 899-5350
- Fax
- (425) 899-5355
- NPI assigned
- May 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30004455 | WA | Primary |
Addresses
Primary practice location
12333 NE 130TH LN
Suite 225
Kirkland, WA 98034-7467
Mailing address
12040 NE 128TH St
Ms-10
Kirkland, WA 98034-3013
Phone (425) 899-3270
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1233SE | Other | WA | BLUE SHIELD |
| NP3100W | Medicaid | AK | |
| 9621350 | Medicaid | WA | |
| 213265 | Other | WA | LABOR & INDUSTRIES |
Other names 1
- Ms. Bobbie Jean Severson
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
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No 2 | Past | Accepting new patients | |
| King County Public Hospital District No. 2 | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Bothell, WA
- NPI 1902907165
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211414400000",
"number": "1780630640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"address_2": "MS-10",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "425-899-3270",
"fax_number": "425-899-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12333 NE 130TH LN",
"address_2": "SUITE 225",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980347467",
"telephone_number": "425-899-5350",
"fax_number": "425-899-5355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVERSON",
"first_name": "BARBARA",
"middle_name": "JEAN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-25",
"last_updated": "2008-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30004455",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1233SE",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3100W",
"state": "AK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9621350",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "213265",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BOBBIE",
"last_name": "SEVERSON",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.