ANTOINETTE EDWINA BYRD (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1487921854
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for ANTOINETTE EDWINA BYRD (APN)
1100 9TH AVE
M4-PFS
SEATTLE, WA 981012756
Phone: (206) 515-5811
Fax: (206) 341-0274
Type: Mailing
33501 1ST WAY S
FEDERAL WAY, WA 980036208
Phone: (253) 838-2400
Fax: (253) 874-1637
Type: Location
1455 NW LEARY WAY STE 400
SEATTLE, WA 981075138
Phone: (646) 450-7748
Type: Location
205 SE Spokane St
Portland, OR 972026487
Phone: (646) 450-7488
Fax: (718) 481-2061
Type: Location
134 N 4TH ST
BROOKLYN, NY 112493296
Phone: (646) 450-7488
Fax: (718) 481-2061
Type: Mailing
32269 47TH AVE S
AUBURN, WA 980013733
Phone: (214) 578-6310
Type: Mailing
1033 SW 152ND ST
BURIEN, WA 981661845
Phone: (206) 487-6146
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: 2022-08-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120531000124 | I | Nurse Practitioner | TX | TBD |
| I20160729002094 | I | Nurse Practitioner | WA | TBD |
| I20220822001661 | I | Nurse Practitioner | OR | TBD |
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.
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
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Nurse Practitioner | MA | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Mental Health Counselor | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY | |
| Clinical Social Worker | NY |
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