Individual provider Active NPI

Desiree Rose Huntley, ARNP

  • Family Nurse Practitioner
  • Sedro Woolley, WA
National Provider Identifier
1972098044
Registry record updated May 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60861646 Issued in WA
Practice address
1990 Hospital Dr Ste 200
Sedro Woolley, WA 98284-9315
Phone
(360) 856-8800
Fax
(360) 714-2520
NPI assigned
Jun 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2023

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 AP60861646 WA Primary

Addresses

Primary practice location

1990 Hospital Dr Ste 200
Sedro Woolley, WA 98284-9315

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1462

Other practice location 1

2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-7110

Other practice location 2

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 856-7960

Other practice location 3

2901 Squalicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 738-2200

Other practice location 4

1990 Hospital Dr Ste 110
Sedro Woolley, WA 98284-9315
Phone (360) 856-8830

Other practice location 5

1117 Spring St
Friday Harbor, WA 98250-9782
Phone (360) 378-2141

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
I20180904002971 WA Practitioner - Nurse Practitioner 5092065508 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians

Practice addresses (Care Compare)

1990 Hospital Dr
Sedro Woolley, WA 98284-9315

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641

Hospital & facility affiliations

  • Eden Home Health Home health agency, Bellingham, WA, CCN 507105
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329
  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Medical Group - Sedro Woolley CurrentSince Sep 4, 2018 Accepting new patients
Peacehealth CurrentSince Apr 29, 2020 Accepting new patients
Peacehealth CurrentSince Jan 31, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Peacehealth Past Accepting new patients

Locations

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

1990 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 854-2760

1990 Hospital Dr
Ste 200
Sedro Woolley, WA 98284
Phone (360) 856-4222

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

1990 Hospital Dr
Ste 110
Sedro Woolley, WA 98284
Phone (360) 856-8830

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: dhuntley65763@direct.peacehealth.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1972098044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1462",
            "fax_number": "360-729-3104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 HOSPITAL DR STE 200",
            "city": "SEDRO WOOLLEY",
            "state": "WA",
            "postal_code": "982849315",
            "telephone_number": "360-856-8800",
            "fax_number": "360-714-2520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982844327",
            "country_code": "US",
            "telephone_number": "360-856-7110",
            "fax_number": "360-856-7308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 E Fairhaven Ave",
            "address_purpose": "LOCATION",
            "city": "Burlington",
            "state": "WA",
            "postal_code": "982331916",
            "country_code": "US",
            "telephone_number": "360-856-7960",
            "fax_number": "360-755-1405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-738-2200",
            "fax_number": "360-752-5683",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Hospital Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sedro Woolley",
            "state": "WA",
            "postal_code": "982849315",
            "country_code": "US",
            "telephone_number": "360-856-8830",
            "fax_number": "360-714-2523",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1117 Spring St",
            "address_purpose": "LOCATION",
            "city": "Friday Harbor",
            "state": "WA",
            "postal_code": "982509782",
            "country_code": "US",
            "telephone_number": "360-378-2141",
            "fax_number": "360-378-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTLEY",
        "first_name": "DESIREE",
        "middle_name": "ROSE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-29",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60861646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedro Woolley, WA

Sources for this page

Verify at the official NPI Registry.