Active NPI
Maryellen Zinsley, ARNP
- Nurse Practitioner
- Woodinville, WA
National Provider Identifier
1851323307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30006022
- Practice address
- 17000 140TH Ave NE
Suite # 101
Woodinville, WA 98072-6928 - Phone
- (425) 488-2273
- Fax
- (425) 488-4971
- NPI assigned
- Jul 7, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30006022 | WA | |
| Nurse Practitioner | 363L00000X | AP30006022 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP30006022 | WA |
Addresses
Primary practice location
17000 140TH Ave NE
Suite # 101
Woodinville, WA 98072-6928
Mailing address
PO Box 34036
Seattle, WA 98124-1036
Phone (425) 899-3292
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9640020 | Medicaid | WA | |
| 0157902 | Other | WA | L&I PIN |
| 08654U | Other | WA | REGENCE BLUE SHIELD PIN |
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 |
|---|---|---|---|
| AP30006022 | WA | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1851323307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34036",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241036",
"telephone_number": "425-899-3292",
"fax_number": "425-899-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 140TH AVE NE",
"address_2": "SUITE # 101",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980726928",
"telephone_number": "425-488-2273",
"fax_number": "425-488-4971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZINSLEY",
"first_name": "MARYELLEN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30006022",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30006022",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30006022",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9640020",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I PIN",
"identifier": "0157902",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD PIN",
"identifier": "08654U",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodinville, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.