Individual provider Active NPI

Sarah Elizabeth Peterson, MD

  • Family Medicine Physician
  • Ferndale, WA
National Provider Identifier
1790359800
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61435590 Issued in WA
Practice address
5580 Nordic Way
Ferndale, WA 98248-5104
Phone
(360) 384-1511
Fax
(360) 384-5758
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61435590 WA Primary

Addresses

Primary practice location

5580 Nordic Way
Ferndale, WA 98248-5104

Mailing address

5580 Nordic Way
Ferndale, WA 98248-5104
Phone (360) 384-1511

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240718000000 WA Practitioner - Family Practice 0446651657 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, San Francisco School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

715 W Orchard Dr
Suite 4
Bellingham, WA 98225-1767
Phone (360) 746-3850

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Network PLLC CurrentSince Apr 20, 2025 Accepting new patients
Family Care Network PLLC Family Medicine CurrentSince Nov 11, 2024 Accepting new patients
Valley Medical Group-Renton Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Family Care Network PLLC Family Medicine CurrentSince Nov 11, 2024 Accepting new patients
Family Care Network PLLC Family Medicine Current Accepting new patients
Peacehealth Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785

3915 Talbot Rd S
Ste 401
Renton, WA 98055
Phone (425) 656-4224

3600 Lind Ave SW
Ste 100
Renton, WA 98057

Interoperability endpoints

  • Direct secure messaging: speterson23593@direct.fcn.net

Organizations & group practices 6

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 4

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1790359800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5580 NORDIC WAY",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982485104",
            "telephone_number": "360-384-1511",
            "fax_number": "360-384-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5580 NORDIC WAY",
            "city": "FERNDALE",
            "state": "WA",
            "postal_code": "982485104",
            "telephone_number": "360-384-1511",
            "fax_number": "360-384-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "SARAH",
        "middle_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61435590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ferndale, WA

Sources for this page

Verify at the official NPI Registry.