Individual provider Active NPI

James Patrick Ronan, ARNP

  • Nurse Practitioner
  • Silverdale, WA
National Provider Identifier
1881792455
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60076323 Issued in WA
Practice address
9951 Mickelberry Rd NW Ste 101
Silverdale, WA 98383-8309
Phone
(360) 692-9362
NPI assigned
Sep 20, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60076323 WA Primary
Pediatric Nurse Practitioner 363LP0200X 088006164N2 PNP-PP OR
Pediatric Nurse Practitioner 363LP0200X RN091542 182 AZ

Addresses

Primary practice location

9951 Mickelberry Rd NW Ste 101
Silverdale, WA 98383-8309

Mailing address

1582 Gulf Rd Unit 1309
Point Roberts, WA 98281-8059
Phone (503) 449-0293

Other practice location 1

1582 Gulf Rd Unit 1309
Point Roberts, WA 98281-8059
Phone (503) 449-0293

Other practice location 2

3023 Pacific Ave SE
Olympia, WA 98501-2042
Phone (360) 528-4220

Other practice location 3

3023 Pacific Ave SE
Olympia, WA 98501-2042
Phone (360) 528-4220

Other identifiers 4

IdentifierTypeStateIssuer
263676OtherWALABOR & INDUSTRIES
292795OtherOROMAP
373481OtherAZAHCCCS
1881792455MedicaidWA

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

LicenseStateTypeSpecialty
AP60076323WAMDNurse Practitioner
RN091542 182AZMDPediatric Nurse Practitioner
088006164N2 PNP-PPORMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Future Pediatrics 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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881792455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1582 GULF RD UNIT 1309",
            "city": "POINT ROBERTS",
            "state": "WA",
            "postal_code": "982818059",
            "telephone_number": "503-449-0293",
            "fax_number": "503-449-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 MICKELBERRY RD NW STE 101",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838309",
            "telephone_number": "360-692-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1582 Gulf Rd Unit 1309",
            "address_purpose": "LOCATION",
            "city": "Point Roberts",
            "state": "WA",
            "postal_code": "982818059",
            "country_code": "US",
            "telephone_number": "503-449-0293",
            "fax_number": "503-449-0293",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3023 Pacific Ave SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012042",
            "country_code": "US",
            "telephone_number": "360-528-4220",
            "fax_number": "360-528-4226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3023 Pacific Ave SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985012042",
            "country_code": "US",
            "telephone_number": "360-528-4220",
            "fax_number": "360-528-4226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONAN",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60076323",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OR",
            "license": "088006164N2 PNP-PP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "RN091542 182",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "263676",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OMAP",
            "identifier": "292795",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "373481",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881792455",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.