Individual provider Active NPI

Kerri Suzanne Dansby, ARNP

  • Family Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1861875247
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60582149 Issued in WA
Practice address
1919 181St PL SW
Lynnwood, WA 98037-4918
Phone
(816) 204-6396
Fax
(206) 558-1784
NPI assigned
Jul 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60582149 WA Primary
Primary Care Nurse Practitioner 363LP2300X 60582149 WA
Registered Nurse 163W00000X RN60145136 WA

Addresses

Primary practice location

1919 181St PL SW
Lynnwood, WA 98037-4918

Mailing address

1919 181St PL SW
Lynnwood, WA 98037-4918
Phone (816) 204-6396

Other identifiers 1

IdentifierTypeStateIssuer
1861875247MedicaidWA

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
I20151221000516 WA Practitioner - Nurse Practitioner 9537460381 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60145136WAMDRegistered Nurse
AP60582149WAMDFamily Nurse Practitioner
60582149WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
King County Public Hospital District No. 2 CurrentSince Feb 1, 2019 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Feb 1, 2019 Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

4220 132nd St SE
Ste 103
Mill Creek, WA 98012
Phone (425) 225-1210

8980 161st Ave NE
Ste 320
Redmond, WA 98052
Phone (425) 823-4000

Interoperability endpoints

  • Direct secure messaging: kerri.orf@309431641702404.direct.elationemr.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1861875247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 181ST PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374918",
            "telephone_number": "816-204-6396",
            "fax_number": "206-558-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 181ST PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980374918",
            "telephone_number": "816-204-6396",
            "fax_number": "206-558-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANSBY",
        "first_name": "KERRI",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60582149",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "60582149",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60145136",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861875247",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.