Individual provider Active NPI

Holly Amber Stone

  • Nurse Practitioner
  • Auburn, WA
National Provider Identifier
1922526607
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60778915 Issued in WA
Practice address
4508 Auburn Way N Ste C
Auburn, WA 98002-1381
Phone
(253) 737-5764
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN60669044 WA
Nurse Practitioner 363L00000X AP60778915 WA Primary

Addresses

Primary practice location

4508 Auburn Way N Ste C
Auburn, WA 98002-1381

Mailing address

4508 Auburn Way N Ste C
Auburn, WA 98002-1381

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171214001074 WA Practitioner - Nurse Practitioner 4385902691

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60669044WAMDAdult Psychiatric/Mental Health Registered Nurse
AP60778915WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Best Northwest Physicians PLLC CurrentSince Nov 6, 2017 Accepting new patients

Locations

4508 Auburn Way N
Ste C
Auburn, WA 98002
Phone (253) 737-5764

21301 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 862-2533

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1922526607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 AUBURN WAY N STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 AUBURN WAY N STE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021381",
            "telephone_number": "253-737-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "HOLLY",
        "middle_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "RN60669044",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60778915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.