NPIMap

Organization Active NPI

Planned Parenthood of Greater Washington and North Idaho

  • Women's Health Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1790902906
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
600033210 Issued in WA
Legal business name
PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO
Practice address
1530 Ellis St
Bellingham, WA 98225-4905
Phone
(360) 734-9095
NPI assigned
Apr 19, 2007
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Sendi Aceves
Title
Coo
Phone
(866) 904-7721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 600033210 WA Primary

Addresses

Primary practice location

1530 Ellis St
Bellingham, WA 98225-4905

Mailing address

1509 Cornwall Ave
Bellingham, WA 98225-4521
Phone (360) 734-9007

Other identifiers 1

IdentifierTypeStateIssuer
7913700MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031212000906 WA Part B Supplier - Clinic/Group Practice 3870490451 Receives reassigned benefits from 6 practitioners
Practice locations: Bellingham, WA; Mount Vernon, WA; Friday Harbor, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0634235Planned Parenthood Greater Washington and N Idaho1530 Ellis St, Bellingham, WA 98225Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Planned Parenthood of Greater Washington and North Idaho3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1530 Ellis St
Bellingham, WA 98225
Phone (360) 714-1149

535 Market St
Friday Harbor, WA 98250
Phone (360) 378-6010

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1790902906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254521",
            "telephone_number": "360-734-9007",
            "fax_number": "360-647-7453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254905",
            "telephone_number": "360-734-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANNED PARENTHOOD OF GREATER WASHINGTON AND NORTH IDAHO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "ACEVES",
        "authorized_official_first_name": "SENDI",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "866-904-7721"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "600033210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7913700",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.