Individual provider Active NPI

Peggy Jan Briggs, ARNP

  • Nurse Practitioner
  • Graham, WA
National Provider Identifier
1790796704
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60327305 Issued in WA
Practice address
22007 Meridian Ave E Ste C
Graham, WA 98338
Phone
(253) 780-4930
Fax
(253) 375-6842
NPI assigned
Aug 11, 2006
Last updated
Jul 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 521048 TX
Nurse Practitioner 363L00000X AP60327305 WA Primary

Addresses

Primary practice location

22007 Meridian Ave E Ste C
Graham, WA 98338

Mailing address

22007 Meridian Ave E Ste C
Graham, WA 98338-8412
Phone (253) 780-4930

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

State licenses

LicenseStateTypeSpecialty
521048TXMDNurse Practitioner
AP60327305WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Health Services PastSince May 1, 2005 Accepting new patients
Lisa J Perkowski MD PC Past Accepting new patients
Briarwood Clinic, LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531094400000",
    "number": "1790796704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22007 MERIDIAN AVE E STE C",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "983388412",
            "telephone_number": "253-780-4930",
            "fax_number": "253-375-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22007 MERIDIAN AVE E STE C",
            "city": "GRAHAM",
            "state": "WA",
            "postal_code": "98338",
            "telephone_number": "253-780-4930",
            "fax_number": "253-375-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGGS",
        "first_name": "PEGGY",
        "middle_name": "JAN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-11",
        "last_updated": "2018-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "521048",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60327305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Graham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.