Individual provider Active NPI

Elizabeth Ann Jones, ARNP

  • Family Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1952844987
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60481749 Issued in WA
Practice address
3501 Shelby Rd Ste B
Lynnwood, WA 98087
Phone
(425) 742-9119
NPI assigned
Nov 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 60481749 WA
Family Nurse Practitioner 363LF0000X AP60481749 WA Primary

Addresses

Primary practice location

3501 Shelby Rd Ste B
Lynnwood, WA 98087

Mailing address

1750 112TH Ave NE
Suite A101
Bellevue, WA 98004-3752
Phone (425) 688-5846

Other practice location 1

1750 112th Ave NE
Suite A101
Bellevue, WA 98004-3752
Phone (425) 688-5846

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
I20170306002772 WA Practitioner - Nurse Practitioner 1254615479 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60481749WAMDFamily Nurse Practitioner
AP60481749WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics, LLC CurrentSince Feb 24, 2017 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 17, 2018 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Feb 24, 2017 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Sep 17, 2018 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients
RN Breastfeeding Support LLC Family Past Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Locations

1750 112th Ave NE
Ste A101
Bellevue, WA 98004
Phone (425) 688-5234

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

3501 Shelby Rd
Ste B
Lynnwood, WA 98087
Phone (425) 259-4041

Organizations & group practices 7

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": "1479772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534464000000",
    "number": "1952844987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 112TH AVE NE",
            "address_2": "SUITE A101",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043752",
            "telephone_number": "425-688-5846",
            "fax_number": "425-688-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 SHELBY RD STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "98087",
            "telephone_number": "425-742-9119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1750 112th Ave NE",
            "address_2": "Suite A101",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043752",
            "country_code": "US",
            "telephone_number": "425-688-5846",
            "fax_number": "425-688-5281",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-22",
        "last_updated": "2018-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60481749",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60481749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.