CHAD ANTONIE AGNP, ARNP-C
NPI 1164897112
Nurse Practitioner - Family in Federal Way, WA

Active since December 02, 2015
34503 9TH AVE S STE 100, FEDERAL WAY, WA 98003(253) 835-8700(253) 835-8755 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 12, 2020, Aug 31, 2020, Dec 2, 2015 (3 updates tracked since 2015).

About Chad Antonie Agnp, Arnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHAD ANTONIE AGNP, ARNP-C (NPI 1164897112) is an individual family provider in Federal Way, Washington, licensed in Nevada (847945) and active in the NPI registry since December 2015. He maintains a secondary practice location in Yakima.

NPPES Registry Identity

NPI1164897112
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameCHAD ANTONIECredential: AGNP, ARNP-C
Location Address34503 9TH AVE S STE 100Federal Way, WA 98003-8726
Mailing Address34503 9th Ave S Ste 100Federal Way, WA 98003-8726 · (253) 835-8700 · Fax (253) 835-8755
Fax(253) 835-8755
Sole ProprietorNo
Enumeration DateDecember 2, 2015
Last NPPES UpdateJanuary 29, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2024
NPI 1164897112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NV · 847945
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License AP60616117 (WA)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AP60616117 (WA)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP60616117 (WA)
34503 9TH AVE S STE 100, Federal Way, WA 98003

Secondary Practice Location 1

Location 14003 Creekside LoopYakima, WA 98908-3962 · Phone (509) 248-3263 · Fax (509) 225-2702

Other Identifiers 1

Medicaid2050385WA

Accepted Insurance

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003
Internal Medicine
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003
Clinical Ethicist
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003
Internal Medicine
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003
Nurse Practitioner (Family)
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003
Internal Medicine
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003
Internal Medicine
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003
Internal Medicine
34503 9TH AVE S STE 100
FEDERAL WAY, WA 98003

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Antonie's NPI number?

The NPI number for Chad Antonie is 1164897112. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Where is Chad Antonie located?

Chad Antonie practices at 34503 9th Ave S Ste 100, Federal Way, WA 98003. The listed phone number is (253) 835-8700.

What is Chad Antonie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does Chad Antonie accept?

Health plans from PacificSource Health Plans list Chad Antonie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Chad Antonie was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.