Active NPI
Jerri L Virtue, ARNP
- Nurse Practitioner
- Des Moines, WA
National Provider Identifier
1861432866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30002428
- Practice address
- 22000 Marine View Dr S
Suite 200
Des Moines, WA 98198-6233 - Phone
- (206) 870-7331
- Fax
- (206) 878-0951
- NPI assigned
- Jun 7, 2006
- Last updated
- Feb 16, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30002428 | WA | Primary |
Addresses
Primary practice location
22000 Marine View Dr S
Suite 200
Des Moines, WA 98198-6233
Mailing address
PO Box 34936
Dept # 5006
Seattle, WA 98124-1936
Phone (206) 439-2988
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 |
|---|---|---|---|
| AP30002428 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highline Medical Group | 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.
-
dba Highline OB & Gyn Assoc.
- Obstetrics & Gynecology Physician
- Burien, WA
- NPI 1265783609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266278400000",
"number": "1861432866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34936",
"address_2": "DEPT # 5006",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241936",
"telephone_number": "206-439-2988",
"fax_number": "206-431-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22000 MARINE VIEW DR S",
"address_2": "SUITE 200",
"city": "DES MOINES",
"state": "WA",
"postal_code": "981986233",
"telephone_number": "206-870-7331",
"fax_number": "206-878-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRTUE",
"first_name": "JERRI",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2010-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30002428",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.