PEACEHEALTH NETWORKS ON DEMAND, LLC (NPI# 1659981272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659981272 |
| Entity Type | Organization |
| Organization Name | PEACEHEALTH NETWORKS ON DEMAND, LLC |
| Practice Address |
15911 Westminister Way N. Shoreline WA 98113 |
| Mailing Address |
1455 Nw Irving St Ste 600 Portland OR 97209-2277 |
| Practice Telephone | 5039413807 |
| Practice Fax Number | 5039413809 |
| Mailing Telephone | 5039413807 |
| Mailing Fax Number | 5039413809 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-07 |
| Authorized Official Name | DR. MALLORY ALYSE KEMPTON-HEIN (PHARMACIST) |
| Authorized Official Telephone | 5039413807 |
| Authorized Official Credential | PHARM D. |
| Is Organization Subpart | Y |
| Parent Organization Name | PEACEHEALTH NETWORKS ON DEMAND, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FV8482111 | 01 |
| Other Name | Type Code |
|---|---|
| ZoomCare-Shoreline | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890268 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10541 Ne 4th St, Bellevue, WA 98004-5023 | 2020-08-10 |
| 1770193294 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4555 Stone Way N, Seattle, WA 98103-6647 | 2020-08-10 |
| 1386254811 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 123 Broadway E Ste A, Seattle, WA 98102-5711 | 2020-08-10 |
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1154931814 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 6910 Se Milwaukie Ave, Portland, OR 97202-5717 | 2020-08-06 |
| 1841800752 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 517 Union St, Seattle, WA 98101-2308 | 2020-08-05 |
| 1437769320 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10425 Ne 8th St, Bellevue, WA 98004-4346 | 2020-08-05 |
| 1184234072 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2038 Nw Market St, Seattle, WA 98107-4012 | 2020-08-05 |
| 1619587482 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4012 Sw Alaska St, Seattle, WA 98116-4529 | 2020-08-05 |
| 1083224919 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 1909 Queen Anne Ave N, Seattle, WA 98109-2549 | 2020-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | PeaceHealth Networks on Demand, LLC | 1115 Se 164th Avenue, Dept. 302, Vancouver, WA 98683 |
| Oregon Corporations, Companies and Business Names | PEACEHEALTH NETWORKS ON DEMAND, LLC | 1115 Se 164th Ave Dept 302, Vancouver, WA 98683 |
| Washington State Corporations | PEACEHEALTH NETWORKS ON DEMAND, LLC | 1115 Se 164th Ave Dept 302, Vancouver, WA 98683-8002 |
| Street Address |
15911 WESTMINISTER WAY N. |
| City | SHORELINE |
| State | WA |
| Zip Code | 98113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693955 | Diana Noman | Interpreter | 8306 Greenwood Ave N Unit 30595, Seattle, WA 98113-1305 | 2020-09-14 |
| 1770624397 | Rafael A Escribano Jr. | Anesthesiology | 1550 N 115th St, Northwest Hospital, Seattle, WA 98113-9733 | 2007-02-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335198 | Andrei Zahajko | Interpreter | 113 Nw 205th St, Shoreline, WA 98177-2023 | 2020-10-29 |
| 1326655523 | Aerika Leigh Street | Registered Nurse | 18350 6th Ave Nw, Shoreline, WA 98177-3531 | 2020-09-30 |
| 1659988467 | Leonor C Osorio | Interpreter | 1795 Ne 205th St Apt 508, Shoreline, WA 98155-1017 | 2020-09-25 |
| 1942814058 | Elham Rassi | Interpreter | 14709 8th Ave Ne, Shoreline, WA 98155-6900 | 2020-09-04 |
| 1235743402 | Caleb Mcinnis | Chiropractor | 18336 Aurora Ave N Ste 111, Shoreline, WA 98133-4526 | 2020-09-03 |
| 1275143570 | Hiljay Homes Inc | Licensed Practical Nurse | 111 Nw 203rd St, Shoreline, WA 98177-2019 | 2020-08-03 |
| 1184240350 | Dr. Michael S. Caparas Dmd PC | Clinic/Center | 20011 Ballinger Way Ne Ste B-100, Shoreline, WA 98155-1286 | 2020-06-23 |
| 1356967129 | Angeline Loomba | Physician Assistant | 18516 Fremont Ave N, Shoreline, WA 98133-3821 | 2020-06-17 |
| 1720604580 | Trevor Tsuchikawa Dds IIi Ps | Clinic/Center | 721 N 182nd St Ste 301, Shoreline, WA 98133-4400 | 2020-06-17 |
| 1669095105 | Jerrica Claire Viloria | Behavior Technician | 1221 Ne 180th St Apt 310, Shoreline, WA 98155-3881 | 2020-05-19 |
| Find all providers in SHORELINE | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700124344 | Shoreline Natural Medicine Clinic, Inc | Non-Pharmacy Dispensing Site | 646 Nw Richmond Beach Rd, Shoreline, WA 98177-3122 | 2013-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890268 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10541 Ne 4th St, Bellevue, WA 98004-5023 | 2020-08-10 |
| 1770193294 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4555 Stone Way N, Seattle, WA 98103-6647 | 2020-08-10 |
| 1386254811 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 123 Broadway E Ste A, Seattle, WA 98102-5711 | 2020-08-10 |
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1841800752 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 517 Union St, Seattle, WA 98101-2308 | 2020-08-05 |
| 1437769320 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10425 Ne 8th St, Bellevue, WA 98004-4346 | 2020-08-05 |
| 1184234072 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2038 Nw Market St, Seattle, WA 98107-4012 | 2020-08-05 |
| 1619587482 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4012 Sw Alaska St, Seattle, WA 98116-4529 | 2020-08-05 |
| 1083224919 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 1909 Queen Anne Ave N, Seattle, WA 98109-2549 | 2020-08-05 |
| 1437769312 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 8076 E Mill Plain Blvd, Vancouver, WA 98664-2002 | 2020-08-05 |
| 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.