Organization Active NPI

Natalie Paul Private Practice, PLLC

  • Clinic/Center
  • Vancouver, WA
National Provider Identifier
1801526454
Registry record updated Sep 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NATALIE PAUL PRIVATE PRACTICE, PLLC
Practice address
5501 NE 109TH CT Ste N
Vancouver, WA 98662-6174
Phone
(971) 225-6970
Fax
(833) 464-3458
NPI assigned
Jun 15, 2022
Last updated
Sep 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2023

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

Authorized official

Name
Natalie Paul, ARNPNPI 1427507086
Title
Nurse Practitioner
Phone
(971) 225-6970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

5501 NE 109TH CT Ste N
Vancouver, WA 98662-6174

Mailing address

5501 NE 109TH CT Ste N
Vancouver, WA 98662-6174
Phone (971) 225-6970

Other practice location 1

5612 Ocean Beach Hwy Ste 104
Longview, WA 98632-6215
Phone (360) 200-3790

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220928002913 WA Part B Supplier - Clinic/Group Practice 9032595046 Receives reassigned benefits from 2 practitioners
Practice locations: Vancouver, WA

National Provider Directory

National Provider Directory

Locations

5612 Ocean Beach Hwy
Ste 102
Longview, WA 98632
Phone (971) 225-6970

5612 Ocean Beach Hwy
Ste 104
Longview, WA 98632
Phone (360) 200-3790

5500 NE 109th Ct
Ste A
Vancouver, WA 98662
Phone (360) 694-1188

5501 NE 109th Ct
Ste N
Vancouver, WA 98662
Phone (360) 217-4205

6715 NE 63rd St
Ste 419
Vancouver, WA 98661

Practitioners & affiliated clinicians

Practitioners 3

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": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695513600000",
    "number": "1801526454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 NE 109TH CT STE N",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626174",
            "telephone_number": "971-225-6970",
            "fax_number": "833-464-3458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 NE 109TH CT STE N",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626174",
            "telephone_number": "971-225-6970",
            "fax_number": "833-464-3458"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5612 Ocean Beach Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986326215",
            "country_code": "US",
            "telephone_number": "360-200-3790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NATALIE PAUL PRIVATE PRACTICE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2023-09-24",
        "certification_date": "2023-09-24",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "971-225-6970",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.