PRIMARY CARE REDMOND, PLLC (NPI# 1154699924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154699924 |
| Entity Type | Organization |
| Organization Name | PRIMARY CARE REDMOND, PLLC |
| Practice Address |
8301 161st Ave Ne Suite 100 Redmond WA 98052-3858 |
| Practice Telephone | 4258958600 |
| Mailing Telephone | 4258958600 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |
| Authorized Official Name | LINDA ANN VAN HOFF (OWNER) |
| Authorized Official Telephone | 4258958600 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP30001935 | WA | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP30004449 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| INDIVIDUAL NPI | 1497737316 | 01 | |
| INDIVIDUAL NPI | 1588676001 | 01 | |
| WA | WA MEDICARE NUMBER | AB17259 | 01 |
| WA | WA MEDICARE NUMBER | 8850455 | 01 |
| Street Address |
8301 161ST AVE NE SUITE 100 |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821099722 | Sharon K Hempler | Pediatrics | 8301 161st Ave Ne, #204, Redmond, WA 98052-3858 | 2005-08-02 |
| 1598211690 | Andrea Robinson | Audiologist | 8301 161st Ave Ne, #208, Redmond, WA 98052-3858 | 2016-08-29 |
| 1750836599 | Amanda Parker | Speech-Language Pathologist | 8301 161st Ave Ne, #208, Redmond, WA 98052-3858 | 2016-08-22 |
| 1093166563 | Dr Alan Nohr & Associates | Dentist | 8301 161st Ave Ne, #303, Redmond, WA 98052-3858 | 2016-06-27 |
| 1689083123 | Jessica Lasser | Speech-Language Pathologist | 8301 161st Ave Ne, #208, Redmond, WA 98052-3858 | 2014-08-08 |
| 1265781082 | Lindsay Bley | Speech-Language Pathologist | 8301 161st Ave Ne, #208, Redmond, WA 98052-3858 | 2012-09-07 |
| 1922354125 | Sarah Snider | Speech-Language Pathologist | 8301 161st Ave Ne, 208, Redmond, WA 98052-3858 | 2012-07-25 |
| 1104183722 | Marcia Houdek Jimenez, Ph.d. | Psychologist | 8301 161st Ave Ne, Ste 300, Redmond, WA 98052-3858 | 2012-04-20 |
| 1124324611 | Micheal Patrick Blizniak | Physical Therapist | 8301 161st Ave Ne, Suite 103, Redmond, WA 98052-3858 | 2011-02-01 |
| 1033426929 | Julie M Horace Carlson | Speech-Language Pathologist | 8301 161st Ave Ne, #203, Redmond, WA 98052-3858 | 2010-09-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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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.