PROVIDENCE HEALTH & SERVICES-WA (NPI# 1487805594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487805594 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES-WA |
| Other Organization Name | PROVIDENCE REGIONAL MEDICAL CENTER-EVERETT, NICU |
| Practice Address |
900 Pacific Ave Second Floor Everett WA 98201-4168 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 4253046040 |
| Practice Fax Number | 4253046045 |
| Mailing Telephone | 4253165469 |
| Mailing Fax Number | 4253165484 |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | MARCY NICOL (RCM DIRECTOR, NWR PHYSICIAN DIVISIO) |
| Authorized Official Telephone | 4253170284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| N | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Providence Regional Medical Center-Everett, NICU | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114236791 | Providence Health & Services-wa | Surgery | 1330 Rockefeller Avenue, Suite 400, Everett, WA 98201-1676 | 2010-09-30 |
| 1588294854 | Providence Health & Services-wa | Clinic/Center | 916 Pacific Ave, Everett, WA 98201-4147 | 2020-01-24 |
| 1649615220 | Providence Health & Services-wa | Naturopath | 1321 Colby Ave, Everett, WA 98201-1665 | 2013-05-08 |
| 1215225099 | Providence Health & Services-wa | Midwife | 14692 179th Ave Se, Ste 800, Monroe, WA 98272-1162 | 2011-07-14 |
| 1447547658 | Providence Health & Services-wa | Registered Nurse | 14692 179th Ave Se, Ste 800, Monroe, WA 98272-1162 | 2011-07-08 |
| 1891088845 | Providence Health & Services-wa | Pharmacy | 3305 Nassau St # 101, Everett, WA 98201-4140 | 2011-05-24 |
| 1831499755 | Providence Health & Services-wa | Orthopaedic Surgery | 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 | 2010-10-26 |
| 1972819175 | Providence Health & Services-wa | Registered Nurse | 3305 Nassau St, Everett, WA 98201-4140 | 2010-08-25 |
| 1164747242 | Providence Health & Services-wa | General Practice | 1717 13th Street, Everett, WA 98201-1621 | 2010-04-01 |
| 1346571841 | Providence Health & Services-wa | Nurse Practitioner | 1330 Rockefeller, Suite 200, Everett, WA 98201-1677 | 2010-01-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Providence Health & Services-Washington | 1801 Lind Ave Sw #9016, Renton, Washington 98057-9016 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw #9016, Renton, WA 98057 |
| System for Award Management (SAM) Entities | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw #9016, Renton, WA 98057-3368 |
| Washington State Corporations | PROVIDENCE HEALTH & SERVICES-WASHINGTON | 1801 Lind Ave Sw # 9016, Renton, WA 98057 |
| Street Address |
900 PACIFIC AVE SECOND FLOOR |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429062 | Joyce I Kulina | Nurse Practitioner | 900 Pacific Ave, Everett, WA 98201-4168 | 2005-10-05 |
| 1396379863 | Erin Picolet | Advanced Practice Midwife | 900 Pacific Ave, Everett, WA 98201-4168 | 2020-02-24 |
| 1093282956 | Brandi Lee Bohn | Speech-Language Pathologist | 900 Pacific Ave, Everett, WA 98201-4168 | 2018-10-30 |
| 1841766557 | Katrina De La Cruz | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2018-10-19 |
| 1639610660 | Leslie Collins | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2017-03-09 |
| 1235681990 | Kathryn Louthain | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-10-28 |
| 1992255616 | Jordan Haruo Nakamura | Physical Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-10-05 |
| 1659820983 | Carolyn Wetzel | Nurse Practitioner | 900 Pacific Ave, 5th Floor, Everett, WA 98201-4168 | 2016-09-28 |
| 1356898894 | Chelsea Pearsall | Behavioral Analyst | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-09-01 |
| 1518411867 | Sarah Nicole Pihl | Speech-Language Pathologist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-08-03 |
| 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 | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578694956 | Susan Jane Johnson | Nurse Practitioner | Yakima Valley Memorial Hospital, 2811 Tieton Dr., Infant Icu, Yakima, WA 98902 | 2007-03-08 |
| 1134232606 | Heather Anne Cruz | Nurse Practitioner | 3626 Ne 45th St Ste 300, Seattle, WA 98105-5653 | 2006-08-17 |
| 1831721448 | Sarah Reilly | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-02-11 |
| 1316588932 | Aimee Madding | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-04 |
| 1174170724 | Jennifer Louise Kurtz | Nurse Practitioner | 315 Martin Luther King Jr Way, Tacoma, WA 98405-4234 | 2019-08-19 |
| 1558927640 | Inna Adzhigirey | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-05-14 |
| 1891251617 | Christine Tran | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-02-17 |
| 1205349073 | Tacie Anne Reger | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-11-14 |
| 1336695311 | Misty L Smith | Nurse Practitioner | Seattle Children's Hospital, 4800 Sand Point Way Ne, M/s Fa.2.113, Seattle, WA 98105 | 2016-08-30 |
| 1801264270 | Jocelyn Kirk | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2015-09-02 |
| Find all providers with the same taxonomy | ||||
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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.