Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Athena Bollozos

Individual provider Family Nurse Practitioner · NPI 1841028073

Athena Bollozos is a Nurse Practitioner in Shoreline, Washington. Qualified in 2024, 2 years ago. Practices with International Community Health Services, a 94-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
Specialties on file
3
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Practice location Address checks out

16549 Aurora Ave N
Shoreline, WA 98133-5308
Phone: (206) 533-2600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61585887 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP61585887 (WA)
Registered Nurse Taxonomy 163W00000X · Licence RN61204537 (WA)

Record details

NPI number1841028073
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 9, 2024
Mailing address16549 Aurora Ave N, Shoreline, WA 98133-5308

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice International Community Health Services — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shoreline