Individual provider Active NPI

Whitney D Hogan, NP

  • Nurse Practitioner
  • Burien, WA
National Provider Identifier
1851899041
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60828819 Issued in WA
Practice address
15580 3Rd Ave SW
Burien, WA 98166-4565
Phone
(206) 453-4215
Fax
(206) 453-4215
NPI assigned
Jan 23, 2018
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60828819 WA Primary
Registered Nurse 163W00000X RN60291285 WA

Addresses

Primary practice location

15580 3Rd Ave SW
Burien, WA 98166-4565

Mailing address

15580 3Rd Ave SW
Burien, WA 98166-4565
Phone (206) 453-4215

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
I20200804002574 WA Practitioner - Nurse Practitioner 7416372750 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

1909 Queen Anne Ave N
Seattle, WA 98109-2549
Phone (864) 664-3984

411 Strander Blvd
Suite 201
Tukwila, WA 98188-2959
Phone (877) 448-3627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60828819WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince Jul 17, 2024 Accepting new patients
Peacehealth Networks on Demand, LLC CurrentSince Jul 17, 2024 Accepting new patients
Home Towne Family Medicine PLLC CurrentSince Apr 30, 2020 Accepting new patients
Pacific Prosthetics and Orthotics, LLC PastSince Apr 30, 2020 Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients
Zoomcare PC Past Accepting new patients
Peacehealth Networks on Demand, LLC PastSince Aug 1, 2020 Accepting new patients
Metro Infectious Disease Consultants, LLC Past Accepting new patients

Locations

10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151

322 SW 155th St
Ste C
Burien, WA 98166
Phone (206) 453-4215

19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036

1909 Queen Anne Ave N
Seattle, WA 98109

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: whitney.hogan.1@30646.direct.athenahealth.com

Organizations & group practices 9

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": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653523200000",
    "number": "1851899041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15580 3RD AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981664565",
            "telephone_number": "206-453-4215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15580 3RD AVE SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981664565",
            "telephone_number": "206-453-4215",
            "fax_number": "206-453-4215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "WHITNEY",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60828819",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60291285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.