Individual provider Active NPI

Tess Dominique Sorbo, FNP

  • Family Nurse Practitioner
  • Everett, WA
National Provider Identifier
1841713641
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60793949 Issued in WA
Practice address
4933 Evergreen Way
Everett, WA 98203-2828
Phone
(425) 903-3070
NPI assigned
Jul 24, 2017
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60793949 WA Primary
Registered Nurse 163W00000X RN60669700 WA

Addresses

Primary practice location

4933 Evergreen Way
Everett, WA 98203-2828

Mailing address

1201 2ND Ave Ste 1400
Seattle, WA 98101-3039

Other identifiers 1

IdentifierTypeStateIssuer
1929007OtherWAMERCER PROLIABILITY

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
I20180321002137 WA Practitioner - Nurse Practitioner 9830451343 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60669700WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Vera Whole Health Wa PC Current Accepting new patients
Vera Whole Health Wa PC CurrentSince Nov 1, 2022 Accepting new patients
Vera Whole Health Wa PC CurrentSince Nov 1, 2022 Accepting new patients

Locations

100 W Towne Ridge Pkwy
Ste 200
Sandy, UT 84070
Phone (206) 395-6973

4933 Evergreen Way
Everett, WA 98203
Phone (425) 903-3070

13123 121st Way NE
Ste D
Kirkland, WA 98034
Phone (206) 470-1925

1201 2nd Ave
Ste 1400
Seattle, WA 98101

Interoperability endpoints

  • Direct secure messaging: tess.sorbo.1@32512.direct.athenahealth.com

Organizations & group practices 3

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": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1841713641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 2ND AVE STE 1400",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032828",
            "telephone_number": "425-903-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORBO",
        "first_name": "TESS",
        "middle_name": "DOMINIQUE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60793949",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60669700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCER PROLIABILITY",
            "identifier": "1929007",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.