Individual provider Active NPI

Richard D Ervin, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1902252505
Registry record updated May 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP606501 Issued in WA
Practice address
1820 W Pepper LN
Spokane, WA 99218-2759
Phone
(603) 828-8724
NPI assigned
May 12, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP606501 WA Primary

Addresses

Primary practice location

1820 W Pepper LN
Spokane, WA 99218-2759

Mailing address

PO Box 190
510 E Amende Drive
Odessa, WA 99159-0190
Phone (509) 982-2614

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
I20161021001533 WA Practitioner - Nurse Practitioner 6608154893 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural Health Ctr of Med Lake PSGroup PAC ID 2567464696, 9 clinicians

Practice addresses (Care Compare)

731 N Stanley St
Medical Lake, WA 99022-8940
Phone (509) 299-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP606501WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Apr 2, 2019 Accepting new patients
Natural Health Ctr of Med Lake PS CurrentSince Aug 13, 2023 Accepting new patients
Multicare Health System CurrentSince Apr 2, 2019 Accepting new patients
Lincoln County Public Hospital District 1 Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

731 N Stanley St
Medical Lake, WA 99022
Phone (509) 299-6900

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 5

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556668800000",
    "number": "1902252505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "address_2": "510 E AMENDE DRIVE",
            "city": "ODESSA",
            "state": "WA",
            "postal_code": "991590190",
            "telephone_number": "509-982-2614",
            "fax_number": "509-982-2675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W PEPPER LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992182759",
            "telephone_number": "603-828-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "RICHARD",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2019-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP606501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.