Active NPI
Darryl Chadwick Elliott, ARNP
- Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61316818
- Practice address
- 325 9TH Ave
Seattle, WA 98104-2420 - Phone
- (206) 520-5000
- NPI assigned
- Sep 19, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61316818 | WA | Primary |
Addresses
Primary practice location
325 9TH Ave
Seattle, WA 98104-2420
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200119000025 | AL | Practitioner - Nurse Practitioner | 4789019886 | Reassigns benefits to 1 organization |
| I20221108000685 | WA | Practitioner - Nurse Practitioner | 4789019886 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Finance | Current | Accepting new patients | |
| King County Finance | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| The Association of University Physicians | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Cahaba Medical Care Foundation | Current | Accepting new patients | |
| Seattle King Co Dept of Public Health | Past | Accepting new patients |
Locations
1308 Tuscaloosa Ave SW
Birmingham, AL 35211
Phone (205) 679-6325
405 Belcher St
Centreville, AL 35042
Phone (205) 926-4694
195 Hospital Dr
Centreville, AL 35042
Phone (205) 225-7455
908 Jefferson St
Fl 11
Seattle, WA 98104
Phone (206) 744-3590
401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
Interoperability endpoints
- delliott606827@direct.ochin.org
- https://api.platform.athenahealth.com/11347/brand/1/csg/1/fhir/r4
Organizations & group practices 9
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.
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316201809
AL
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1518593904
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1295383958
-
- Federally Qualified Health Center (FQHC)
- Bellevue, WA
- NPI 1922610393
-
- Multi-Specialty Clinic/Center
- Centreville, AL
- NPI 1093058133
-
- Federally Qualified Health Center (FQHC)
- Centreville, AL
- NPI 1316542624
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1780876284
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
- King County Finance
Practice addresses (Care Compare)
325 9TH Ave
Box 359776
Seattle, WA 98104-2499
Phone (206) 744-4579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1962052084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 9TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042420",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELLIOTT",
"first_name": "DARRYL",
"middle_name": "CHADWICK",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-09-19",
"last_updated": "2022-12-13",
"certification_date": "2022-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61316818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.