Active NPI
Elizabeth Anne Myrick, ARNP, NP-C
- Gerontology Nurse Practitioner
- Seattle, WA
National Provider Identifier
1801139001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP61037360
- Practice address
- 2716 Elliott Avenue
Suite 100
Seattle, WA 98121 - Phone
- (206) 683-4893
- NPI assigned
- Apr 5, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60014339 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP61037360 | WA | Primary |
Addresses
Primary practice location
2716 Elliott Avenue
Suite 100
Seattle, WA 98121
Mailing address
2716 Elliott Avenue
Suite 100
Seattle, WA 98121
Phone (206) 683-4893
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60014339 | WA | MD | Registered Nurse |
| AP61037360 | WA | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1801139001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2716 ELLIOTT AVENUE",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98121",
"telephone_number": "206-683-4893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2716 ELLIOTT AVENUE",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98121",
"telephone_number": "206-683-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRICK",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"name_prefix": "Mrs.",
"credential": "ARNP, NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-04-05",
"last_updated": "2023-09-05",
"certification_date": "2020-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60014339",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP61037360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.