Active NPI
James Patrick Ronan, ARNP
- Nurse Practitioner
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60076323
- 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, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 263676 | Other | WA | LABOR & INDUSTRIES |
| 292795 | Other | OR | OMAP |
| 373481 | Other | AZ | AHCCCS |
| 1881792455 | Medicaid | WA |
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 |
|---|---|---|---|
| AP60076323 | WA | MD | Nurse Practitioner |
| RN091542 182 | AZ | MD | Pediatric Nurse Practitioner |
| 088006164N2 PNP-PP | OR | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Pediatrics Physician
- Olympia, WA
- NPI 1356514665
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.