PROVIDENCE HEALTH & SERVICES - WA (NPI# 1649402231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649402231 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HEALTH & SERVICES - WA |
| Other Organization Name | PRMCE FIRST STEPS |
| Practice Address |
916 Pacific Ave 7th Floor Everett WA 98201-4147 |
| Mailing Address |
Po Box 34439 Seattle WA 98124-1439 |
| Practice Telephone | 4253036545 |
| Practice Fax Number | 4253036550 |
| Mailing Telephone | 4253165469 |
| Mailing Fax Number | 4253165484 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2012-06-19 |
| Authorized Official Name | MARCY NICOL (DIRECTOR RCM NWR PHYSICIAN DIVISION) |
| Authorized Official Telephone | 4253170284 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | WA | Behavioral Health & Social Service Providers | |
| N | 163W00000X | Registered Nurse | WA | Nursing Service Providers | |
| Y | 133V00000X | Dietitian, Registered | WA | Dietary & Nutritional Service Providers |
| Other Name | Type Code |
|---|---|
| PRMCE First Steps | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215189808 | Providence Health & Services - Wa | Home Health | 1000 N Argonne Rd, Spokane Valley, WA 99212 | 2008-10-15 |
| 1750783759 | Providence Health & Services - Wa | Pharmacy | 916 Pacific Ave, Everett, WA 98201-4147 | 2014-09-22 |
| 1972927267 | Providence Health & Services - Wa | Emergency Response System Companies | 2731 Wetmore Ave, Suite 500, Everett, WA 98201-3571 | 2014-02-07 |
| 1770877227 | Providence Health & Services - Wa | General Practice | 1830 Bickford Ave, Suite 211, Snohomish, WA 98290-1749 | 2011-06-01 |
| 1639468259 | Providence Health & Services - Wa | Orthopaedic Surgery | 1717 13th St, Suite 401, Everett, WA 98201-1621 | 2011-04-05 |
| 1225335425 | Providence Health & Services - Wa | Surgery | 1330 Rockefeller Ave, Ste 520, Everett, WA 98201-1684 | 2011-02-24 |
| 1861622557 | Providence Health & Services - Wa | Social Worker | 12800 Bothell Everett Hwy, Suite 110, Everett, WA 98208-6642 | 2009-07-16 |
| 1265669451 | Providence Health & Services - Wa | Clinic/Center | 101 W 8th Ave, Women's Health Center, Spokane, WA 99204-2307 | 2009-06-16 |
| 1669616363 | Providence Health & Services - Wa | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2009-04-24 |
| 1003050709 | Providence Health & Services - Wa | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite100, Mukilteo, WA 98275-5457 | 2009-04-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Providence Health & Services - Washington | 1801 Lind Ave. Sw, #9016, Renton, WA 98057 |
| Street Address |
916 PACIFIC AVE 7TH FLOOR |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245203587 | Elizabeth Gearou | Physical Therapist | 916 Pacific Ave, Everett, WA 98201-4147 | 2006-02-08 |
| 1588294854 | Providence Health & Services-wa | Clinic/Center | 916 Pacific Ave, Everett, WA 98201-4147 | 2020-01-24 |
| 1083264873 | Olivia Bromley | Speech-Language Pathologist | 916 Pacific Ave, Everett, WA 98201-4147 | 2019-09-13 |
| 1235783952 | Katie Anacker | Physical Therapy Assistant | 916 Pacific Ave, Everett, WA 98201-4147 | 2019-07-31 |
| 1891348488 | Judith Kelly | Physical Therapist | 916 Pacific Ave, Everett, WA 98201-4147 | 2019-07-23 |
| 1669025185 | William Michael Crenshaw | Occupational Therapy Assistant | 916 Pacific Ave, Everett, WA 98201-4147 | 2019-07-23 |
| 1053963751 | Bethany Smith Gopalakrishnan | Physical Therapist | 916 Pacific Ave, Everett, WA 98201-4147 | 2019-07-12 |
| 1245891241 | Rebecca Christine Aronsen | Dietitian, Registered | 916 Pacific Ave, Everett, WA 98201-4147 | 2019-06-21 |
| 1679084719 | Emily Charoenset | Occupational Therapy Assistant | 916 Pacific Ave, Everett, WA 98201-4147 | 2017-10-16 |
| 1720505613 | Anica Rae Faucett | Occupational Therapy Assistant | 916 Pacific Ave, Everett, WA 98201-4147 | 2017-08-23 |
| 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 | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902315682 | Sarah Aan Moore | Dietitian, Registered | 6426 Lombard Ave, Everett, WA 98203-4814 | 2017-09-25 |
| 1063786135 | Madeline Marie Neff | Dietitian, Registered | 2615 W Casino Rd Ste 3j, Everett, WA 98204-2110 | 2012-03-06 |
| 1063714582 | Carolyn Zhaleh Gazori | Dietitian, Registered | 13723 Puget Park Dr, Everett, WA 98208-9447 | 2010-12-04 |
| 1285813287 | Kathleen Carmela Bundy | Dietitian, Registered | 2804 Grand Ave Ste 300, Everett, WA 98201-3586 | 2007-10-26 |
| 1639787765 | Susana De La Fuente | Dietitian, Registered | 3020 Rucker Ave, Everett, WA 98201-3900 | 2020-07-15 |
| 1053944314 | Elizabeth S Kraft | Dietitian, Registered | 900 Pacific Ave Ste 501, Everett, WA 98201-4189 | 2020-02-14 |
| 1134765589 | Shari Brown | Dietitian, Registered | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-11-20 |
| 1245891241 | Rebecca Christine Aronsen | Dietitian, Registered | 916 Pacific Ave, Everett, WA 98201-4147 | 2019-06-21 |
| 1699332122 | Sea Mar Community Health Center | Dietitian, Registered | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-05-21 |
| 1598229445 | Vanessa Nelson | Dietitian, Registered | 3901 Hoyt Ave, Everett, WA 98201-4918 | 2019-01-24 |
| Find all providers in EVERETT | ||||
Please comment or provide details below to improve the information on PROVIDENCE HEALTH & SERVICES - WA.
| 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.