Individual provider Active NPI

Nancy D Rider, MSN, ARNP

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Everett, WA
National Provider Identifier
1871688374
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
License
AP30004337 Issued in WA
Practice address
4526 Federal Ave
Everett, WA 98203
Phone
(425) 349-6200
Fax
(512) 838-4264
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808X AP30004337 WA Primary

Addresses

Primary practice location

4526 Federal Ave
Everett, WA 98203

Mailing address

5205 S Julia St
Spokane, WA 99223-8630

Other practice location 1

5633 N Lidgerwood St
Spokane, WA 99208-1224
Phone (509) 252-6446

Other practice location 2

910 W 5th Ave
Ste 600
Spokane, WA 99204-2966
Phone (509) 688-6700

Other practice location 3

235 E Rowan Ave Ste 107
Spokane, WA 99207-1240
Phone (509) 252-6446

Other identifiers 1

IdentifierTypeStateIssuer
1093031MedicaidWA

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
I20050526000891 WA Practitioner - Nurse Practitioner 9032151279 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

123 NW 36TH St
Suite 210
Seattle, WA 98107-4959
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC CurrentSince Feb 27, 2020 Accepting new patients
Compass Health CurrentSince Sep 24, 2018 Accepting new patients

Locations

4526 Federal Ave
Everett, WA 98203
Phone (425) 349-8397

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

123 NW 36th St
Ste 210
Seattle, WA 98107
Phone (206) 329-2050

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

Organizations & group practices 2

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1871688374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5205 S JULIA ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992238630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4526 FEDERAL AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98203",
            "telephone_number": "425-349-6200",
            "fax_number": "512-838-4264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5633 N Lidgerwood St",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992081224",
            "country_code": "US",
            "telephone_number": "509-252-6446",
            "fax_number": "509-252-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 W 5th Ave",
            "address_2": "Ste 600",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042966",
            "country_code": "US",
            "telephone_number": "509-688-6700",
            "fax_number": "509-455-6913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 E Rowan Ave Ste 107",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992071240",
            "country_code": "US",
            "telephone_number": "509-252-6446",
            "fax_number": "509-252-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIDER",
        "first_name": "NANCY",
        "middle_name": "D",
        "credential": "MSN, ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0808X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30004337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093031",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.