Active NPI
Gina Chastain, ARNP
- Nurse Practitioner
- Bellingham, WA
National Provider Identifier
1821160482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30003302
- Practice address
- 4545 Cordata Pkwy
Bellingham, WA 98226-7123 - Phone
- (360) 738-2200
- Fax
- (360) 752-5687
- NPI assigned
- Nov 15, 2006
- Last updated
- Sep 22, 2010
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP30003302 | WA | |
| Nurse Practitioner | 363L00000X | AP30003302 | WA | Primary |
Addresses
Primary practice location
4545 Cordata Pkwy
Bellingham, WA 98226-7123
Mailing address
PO Box 5096
Bellingham, WA 98227-5096
Phone (360) 738-2200
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP30003302 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Past | Accepting new patients |
Organizations & group practices 1
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": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1821160482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5096",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982275096",
"telephone_number": "360-738-2200",
"fax_number": "360-752-5687"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 CORDATA PKWY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982267123",
"telephone_number": "360-738-2200",
"fax_number": "360-752-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASTAIN",
"first_name": "GINA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP30003302",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30003302",
"primary": true
}
],
"identifiers": [],
"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 Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.