MR. JUSTIN GILL


Address: 12800 Bothell Everett Hwy, Everett, WA 98208
Phone: 4253165150

MR. JUSTIN GILL (NPI# 1174903603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174903603
Entity Type Individual
Full Name MR. JUSTIN GILL
Credential ARNP
Practice Address 12800 Bothell Everett Hwy
Everett
WA 98208
Mailing Address 4311 187th St Se
Bothell
WA 98012-7993
Practice Telephone 4253165150
Mailing Telephone 3604417489
Mailing Fax Number 4259847417
Enumeration Date 2015-05-29
Last Update Date 2019-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP60570006 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
AP60570006 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
4700 Point Fosdick Dr Nw Ste 102, Gig Harbor, WA 983351706 3604417489
1400 E Kincaid St, Mount Vernon, WA 982744127 3604282501 3604282596
4311 187th St Se, Bothell, WA 980127993 3604417489 4259847417
19200 N Kelsey St, Monroe, WA 982721431 3607947994

Other Providers JUSTIN GILL

NPI Name Taxonomy Address Enumeration
1700445830 Justin Gill Student in an Organized Health Care Education/Training Program 1365 Clifton Rd Ne, Clinic B - Suite B6100, Atlanta, GA 30322 2019-06-12

Office Location

Street Address 12800 BOTHELL EVERETT HWY
City EVERETT
State WA
Zip Code 98208

Providers in the same location

NPI Name Taxonomy Address Enumeration
1518963404 James Daniel Bass Family Medicine 12800 Bothell Everett Hwy, Everett, WA 98208-6642 2005-06-24
1437620499 Laboratory Corporation of America Clinical Medical Laboratory 12800 Bothell Everett Hwy, Everett, WA 98208-6642 2018-12-16
1306375563 Coreyanne L Griffin Counselor 12800 Bothell Everett Hwy, Everett, WA 98208-6642 2017-06-09
1407389448 Bushra Rahman Internal Medicine 12800 Bothell Everett Hwy, Everett, WA 98208-6642 2017-04-06
1831639731 Providence Health & Services Home Health Aide 12800 Bothell Everett Hwy, Suite 290, Everett, WA 98208-6642 2017-02-27
1700325826 Caroline Judd Social Worker 12800 Bothell Everett Hwy, Everett, WA 98208-6642 2017-02-22
1225485550 Amy Barrows Nurse Practitioner 12800 Bothell Everett Hwy, Suite 120, Everett, WA 98208-6642 2016-05-17
1104299601 Gary Dale Montgomery Physician Assistant 12800 Bothell Everett Hwy, Ste A, Everett, WA 98208-6642 2015-11-05
1457731556 Laura Knapp Counselor 12800 Bothell Everett Hwy, Suite 290, Everett, WA 98208-6642 2015-06-03
1407271547 Sayed Amirhossein Khademi Internal Medicine 12800 Bothell Everett Hwy, Everett, WA 98208-6642 2014-02-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790270296 Kenneth Britt Dyer Registered Nurse 10333 19th Ave, Se, Ste #109, Everett, WA 98208 2018-06-27
1518482215 Glacier Peak Healthcare, Inc. Home Health 10530 19th Ave Se Ste 201, Everett, WA 98208 2017-08-03
1114454865 Aliza Kreisman Registered Nurse 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 2017-05-12
1902269418 Clay Eakin Counselor 2732 Grand Evenue, Everett, WA 98208 2016-04-01
1467810259 Elizabeth Anne Powley Marriage & Family Therapist 1920 100th Street Southeast, Bld C3, Everett, WA 98208 2016-02-08
1659745842 Andrea Rose Bedlington Pharmacist 11407 33rd Dr. Se, Everett, WA 98208 2015-11-25
1396123865 Sound Surgeons Pllc Clinic/Center 125 130th Street Se, 1st Floor, Everett, WA 98208 2015-05-15
1831576537 Chris Sturgeon Counselor 10102 Meridian Ave, Everett, WA 98208 2015-05-01
1982011128 James M Lee Physical Therapist 10821 19th Ave Se Ste 102, Everett, WA 98208 2014-07-21
1972937357 Ronald Tracy Dentist 10315 19th Avenue Se Suite 110, Everett, WA 98208 2013-08-21
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

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
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Competitor

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City EVERETT
Zip Code 98208

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Dataset Information

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.

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