Individual provider Active NPI

Ciara Nicole Atabeygi, ARNP

  • Nurse Practitioner
  • Tumwater, WA
National Provider Identifier
1861737389
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60315932 Issued in WA
Practice address
150 Dennis St SW Ste a
Tumwater, WA 98501-5486
Phone
(360) 754-6367
Fax
(360) 754-6429
NPI assigned
Dec 10, 2012
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60315932 WA Primary

Addresses

Primary practice location

150 Dennis St SW Ste a
Tumwater, WA 98501-5486

Mailing address

150 Dennis St SW
Ste a
Tumwater, WA 98501-5459
Phone (360) 754-6367

Other identifiers 1

IdentifierTypeStateIssuer
AP60315932OtherWASTATE LICENSE

Other names 1

  • Ciara Nicole Wesen Former name

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
I20130418000247 WA Practitioner - Nurse Practitioner 4284870213 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tumwater Family Practice Clinic CurrentSince Mar 1, 2020 Accepting new patients

Locations

150 Dennis St SW
#A
Tumwater, WA 98501
Phone (360) 754-6367

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDHGAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1355097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1861737389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW",
            "address_2": "STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015459",
            "telephone_number": "360-754-6367",
            "fax_number": "360-754-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DENNIS ST SW STE A",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985015486",
            "telephone_number": "360-754-6367",
            "fax_number": "360-754-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATABEYGI",
        "first_name": "CIARA",
        "middle_name": "NICOLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-10",
        "last_updated": "2023-03-07",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60315932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP60315932",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CIARA",
            "last_name": "WESEN",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.