ZADOCK AVERY (MPH, MSN, APRN, WHNP) – Women's Health Nurse Practitioner, NPI 1124446091

ZADOCK AVERY (MPH, MSN, APRN, WHNP) is a healthcare provider. based in Seattle, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials MPH, MSN, APRN, WHNP. They hold a License No. AP60865157 (WA). The NPI Number for ZADOCK AVERY (MPH, MSN, APRN, WHNP) is 1124446091

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ZADOCK AVERY (MPH, MSN, APRN, WHNP)
NPI
1124446091
Phone
(206) 223-6191
Address
1100 9TH AVE
Enumeration Date
28 March 2014
Last Update Date
28 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2082991600
Graduation Year
2014 (12 years ago)
PAC ID
9032466065
Group Practice PAC ID
8628966173
Professional Enrollment ID
I20180723002588
Address ID
WA981124007SE500XXEXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:12State licenses:2Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for ZADOCK AVERY (MPH, MSN, APRN, WHNP)

  • 1100 9TH AVE

    SEATTLE, WA 98101

    Phone: (206) 223-6191

    Fax: (206) 625-7274

    Type: Location

  • 2101 E YESLER WAY

    SEATTLE, WA 981225959

    Phone: (206) 299-1600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180723002588INurse PractitionerWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98101)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628966173View full group profile
NameSpecialtyState
Family PracticeWA
-WA
Family PracticeWA
Family PracticeWA
Family PracticeWA
Family PracticeWA
Nurse PractitionerWA
Family PracticeWA
Nurse PractitionerUT
Family PracticeWA

Reviews

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Frequently asked questions

Can I use this page to confirm ZADOCK AVERY (MPH, MSN, APRN, WHNP)'s NPI?
Yes. ZADOCK AVERY (MPH, MSN, APRN, WHNP) is listed with NPI 1124446091 in the public NPI dataset.
Does CMS list ZADOCK AVERY (MPH, MSN, APRN, WHNP) as active?
Yes — ZADOCK AVERY (MPH, MSN, APRN, WHNP) is active in the NPI listing used on this page.
What taxonomy line describes ZADOCK AVERY (MPH, MSN, APRN, WHNP)?
For research purposes, treat ZADOCK AVERY (MPH, MSN, APRN, WHNP) as Women's Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ZADOCK AVERY (MPH, MSN, APRN, WHNP)?
ZADOCK AVERY (MPH, MSN, APRN, WHNP)'s geographic hint is Seattle, Washington in our summary view.
Is the information about ZADOCK AVERY (MPH, MSN, APRN, WHNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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