Amy Jean Bain, CPNP
Nurse Practitioner, Pediatrics in Issaquah, WA. Individual provider (NPI-1).
NPI number1609058288
StatusActive
Last updated in NPPESJul 23, 2015
Details
- NPI
- 1609058288
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amy Jean Bain
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2007
- Last updated
- Jul 23, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | AP60455433 | WA | Yes |
Practice location
175 1st Pl NwIssaquah, WA 98027-2744
Phone 630-981-4123 · Fax 425-651-4244
Mailing address
175 1st Pl NwIssaquah, WA 98027-2744
Phone 630-981-4123 · Fax 425-651-4244
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 16 Pediatric Nurse Practitioner providers in Issaquah · All 2,127 providers in Issaquah
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