Individual provider Active NPI

Fitsum Gashawtena Belay

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1972359107
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61556989 Issued in WA
Practice address
500 5TH Ave
Seattle, WA 98104-2332
Phone
(206) 296-1234
NPI assigned
Apr 29, 2024
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925003966 WA Practitioner - Nurse Practitioner 2668913062 Reassigns benefits to 3 organizations

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
BHC Fairfax Hospital IncGroup PAC ID 1153231857, 32 clinicians

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

LicenseStateTypeSpecialty
AP61556989WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Fairfax Hospital Inc. CurrentSince Oct 4, 2025 Accepting new patients
Belay Psychiatric PLLC Psychiatric/Mental Health CurrentSince Feb 11, 2026 Accepting new patients
Alliance for South Sound Health CurrentSince Aug 21, 2024 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.

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

Verify at the official NPI Registry.