Active NPI
Fitsum Gashawtena Belay
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61556989
- Practice address
- 500 5TH Ave
Seattle, WA 98104-2332 - Phone
- (206) 296-1234
- NPI assigned
- Apr 29, 2024
- Last updated
- Apr 22, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP61556989 | WA | Primary |
Addresses
Primary practice location
500 5TH Ave
Seattle, WA 98104-2332
Mailing address
3630 146TH St SW
Lynnwood, WA 98087-6382
Phone (206) 766-0935
Other practice location 1
4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765
Phone (425) 977-2560
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10200 NE 132ND St
Kirkland, WA 98034-2831
Phone (425) 821-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61556989 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Fairfax Hospital Inc. | Current | Accepting new patients | |
| Belay Psychiatric PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Alliance for South Sound Health | Current | Accepting new patients | |
| BHC Fairfax Hospital Inc | Past | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Past | Accepting new patients |
Locations
10200 NE 132nd St
Kirkland, WA 98034
Phone (425) 821-2000
3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Fairfax Physician Group
- Psychiatry Physician
- Kirkland, WA
- NPI 1104959097
-
dba Wellfound Behavioral Health Hospital
- Psychiatric Hospital
- Tacoma, WA
- NPI 1891298980
-
- Psychiatric/Mental Health Nurse Practitioner
- Mukilteo, WA
- NPI 1174485924
-
dba Sea Mar Community Health Center
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
- Psychiatric Hospital
- Kirkland, WA
- NPI 1053327890
-
dba LifeStance Health
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1972359107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3630 146TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980876382",
"telephone_number": "206-766-0935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 5TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042332",
"telephone_number": "206-296-1234"
}
],
"practiceLocations": [
{
"address_1": "4111 Alderwood Mall Blvd",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980366765",
"country_code": "US",
"telephone_number": "425-977-2560",
"fax_number": "425-977-2561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELAY",
"first_name": "FITSUM",
"middle_name": "GASHAWTENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-29",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP61556989",
"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 Apr 22, 2026; 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.