MARY ANDERSON (NPI# 1073165593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073165593 |
| Entity Type | Individual |
| Full Name | MARY ANDERSON |
| Practice Address |
3927 Rucker Ave Everett WA 98201-4833 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253395421 |
| Practice Fax Number | 4253173975 |
| Mailing Telephone | 4253395421 |
| Mailing Fax Number | 4253173975 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2020-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60969818 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19230 Forest Park Dr Ne, G224, Lake Forest Park, WA 98155 | 4253088254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344222 | Mary Lynn Anderson | Licensed Vocational Nurse | 311 Oceanside Blvd Spc 49, Oceanside, CA 92054-5130 | 2020-10-21 |
| 1437767365 | Mary Anderson | Speech-Language Pathologist | 2400 S Cimarron Rd Ste 110, Las Vegas, NV 89117-7902 | 2020-07-16 |
| 1902452543 | Mary Helen Anderson | Counselor | 195 Montague St Fl 14, Brooklyn, NY 11201-3631 | 2019-08-09 |
| 1386151207 | Mary Anderson | Nurse Practitioner | 2002 Knight St, Helena, MT 59601-1562 | 2017-12-30 |
| 1952810426 | Mary Anderson | Counselor | 140 Iowa Ln Ste 201, Cary, NC 27511-4495 | 2017-09-27 |
| 1174053292 | Mary Fontenot Anderson | Student in an Organized Health Care Education/Training Program | 4228 Houma Blvd. Ste 200, Metairie, LA 70006 | 2017-06-13 |
| 1265979637 | Mary Anderson | Occupational Therapist | 4590 Halkirk Ct, Palm Harbor, FL 34685-2639 | 2017-01-24 |
| 1083002539 | Mary Ellen Anderson | Registered Nurse | 3 Hook Rd Unit 41b, Poughkeepsie, NY 12601-7308 | 2015-01-07 |
| 1902225873 | Mary Anderson | Nurse's Aide | 3824 Beehler Ave, Baltimore, MD 21215-5506 | 2014-04-08 |
| 1659795383 | Mary Anderson | Physician Assistant | 1721 Medical Blvd Ste D, Findlay, OH 45840-1354 | 2014-02-18 |
| Street Address |
3927 RUCKER AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295738300 | Martha M Cramer | Physical Therapist | 3927 Rucker Ave, Everett, WA 98201-4833 | 2005-05-23 |
| 1912518093 | Holly Anne Bernstein | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2020-08-12 |
| 1063021137 | Katelyn Pedersen | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2020-07-24 |
| 1336790997 | Aileen Isakharova | Physical Therapist | 3927 Rucker Ave, Everett, WA 98201-4833 | 2019-09-25 |
| 1912557612 | Amy Whitney | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2019-09-13 |
| 1992357958 | Graciela Varela | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2019-07-10 |
| 1134789415 | Lukas Moedritzer | Physical Therapist | 3927 Rucker Ave, Everett, WA 98201-4833 | 2019-06-18 |
| 1922667658 | Jessica Wai Teng Mau | Family Medicine | 3927 Rucker Ave, Everett, WA 98201-4833 | 2019-06-06 |
| 1528566866 | Laura Bergeron-hart | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2018-01-31 |
| 1891209326 | Jenny Chang | Physical Therapist | 3927 Rucker Ave, Everett, WA 98201-4833 | 2017-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933642 | Julia Kase | Nurse Practitioner | 728 134th St Sw Ste 207, Everett, WA 98204-5322 | 2019-10-13 |
| 1740765650 | Joan W Kamata | Nurse Practitioner | 38 Carter St Apt 313, Everett, MA 02149-2525 | 2018-09-26 |
| 1679092704 | Bethell Assefa | Nurse Practitioner | 3624 Colby Ave Ste B, Everett, WA 98201-4789 | 2017-09-09 |
| 1518011089 | Susan Farist Butler | Nurse Practitioner | Tri City Mhc, 173 Chelsea St, Everett, MA 02149 | 2007-01-22 |
| 1780643973 | Jessica Susan Webb | Nurse Practitioner | 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 | 2006-03-17 |
| 1063499168 | Tracy J Wilbraham | Nurse Practitioner | 173 Chelsea St, Everett, MA 02149-4632 | 2005-12-29 |
| 1912518093 | Holly Anne Bernstein | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2020-08-12 |
| 1073124491 | Alana Brianne Beck | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2020-08-10 |
| 1588273114 | Dayna Wong | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2020-07-29 |
| 1063021137 | Katelyn Pedersen | Nurse Practitioner | 3927 Rucker Ave, Everett, WA 98201-4833 | 2020-07-24 |
| Find all providers in EVERETT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.