Individual provider Active NPI

Nehemiah Zarate-Rourke

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1831500388
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61074114 Issued in WA
Practice address
1721 Hewitt Ave Ste 506
Everett, WA 98201-3546
Phone
(425) 407-2771
Fax
(425) 484-1384
NPI assigned
May 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60200258 WA
Psychiatric/Mental Health Registered Nurse 163WP0808X RN60200258 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61074114 WA Primary

Addresses

Primary practice location

1721 Hewitt Ave Ste 506
Everett, WA 98201-3546

Mailing address

1721 Hewitt Ave Ste 506
Everett, WA 98201-3546
Phone (425) 407-2771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201104002172 WA Practitioner - Nurse Practitioner 5395155204 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1721 Hewitt Ave
Suite 506
Everett, WA 98201-3546
Phone (425) 407-2771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60200258WAMDRegistered Nurse
AP61074114WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Forward Washington, PLLC Psychiatric/Mental Health CurrentSince Jun 10, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Nov 23, 2020 Accepting new patients
Optum Care Washington PLLC CurrentSince Nov 23, 2020 Accepting new patients
Optum Care Washington PLLC PastSince Oct 1, 2020 Accepting new patients

Locations

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1728 W Marine View Dr
Everett, WA 98201
Phone (425) 252-9216

1721 Hewitt Ave
Ste 506
Everett, WA 98201
Phone (425) 407-2771

1728 W Marine View Dr
Ste 106
Everett, WA 98201

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1400284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1831500388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 HEWITT AVE STE 506",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013546",
            "telephone_number": "425-407-2771",
            "fax_number": "425-484-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 HEWITT AVE STE 506",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013546",
            "telephone_number": "425-407-2771",
            "fax_number": "425-484-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARATE-ROURKE",
        "first_name": "NEHEMIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-17",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60200258",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN60200258",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61074114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.