PROVIDENCE EVERETT MEDICAL CENTER (NPI# 1740365766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740365766 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE EVERETT MEDICAL CENTER |
| Other Organization Name | PROVIDENCE MIDWIFERY CARE |
| Practice Address |
916 Pacific Ave 7th Floor Everett WA 98201-4147 |
| Mailing Address |
909 N Broadway Pbo/credentialing Everett WA 98201-1409 |
| Practice Telephone | 4253036500 |
| Practice Fax Number | 4253036550 |
| Mailing Telephone | 4253170264 |
| Mailing Fax Number | 4253170291 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-09-21 |
| Authorized Official Name | JOYCE KOBAYASHI (DIR REVENUE CYCLE MGMT NWSA) |
| Authorized Official Telephone | 4253170186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | WA | Dietary & Nutritional Service Providers | |
| N | 163W00000X | Registered Nurse | WA | Nursing Service Providers | |
| N | 104100000X | Social Worker | WA | Behavioral Health & Social Service Providers | |
| Y | 367A00000X | Advanced Practice Midwife | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7900822 | 05 | |
| WA | 7400443 | 05 | |
| WA | 7009459 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Midwifery Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073773198 | Providence Everett Medical Center | Clinic/Center | 4112 Harbour Pointe Blvd, Suite 100, Mukilteo, WA 98275-4700 | 2008-06-12 |
| 1982805784 | Providence Everett Medical Center | Social Worker | 900 Pacific Ave, First Floor, Everett, WA 98201-4168 | 2007-05-30 |
| 1538377957 | Providence Everett Medical Center | Clinical Medical Laboratory | 1321 Colby Ave, Everett, WA 98201-1665 | 2007-05-18 |
| 1063551596 | Providence Everett Medical Center | Clinic/Center | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2007-02-05 |
| 1740344100 | Providence Everett Medical Center | Nutritionist | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2006-12-20 |
| 1255495024 | Providence Everett Medical Center | Nutritionist | 900 Pacific Ave, First Floor, Everett, WA 98201-4168 | 2006-12-19 |
| 1770643629 | Providence Everett Medical Center | Nurse Practitioner | 916 Pacific Ave, 1 South, Everett, WA 98201-4147 | 2006-12-11 |
| 1104993716 | Providence Everett Medical Center | Nurse Practitioner | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2006-11-29 |
| 1447326574 | Providence Everett Medical Center | Clinic/Center | 900 Pacific Ave, Suite 200, Everett, WA 98201-4168 | 2006-11-28 |
| 1992871735 | Providence Everett Medical Center | Clinic/Center | 1001 N Broadway, Suite A-3, Everett, WA 98201-1586 | 2006-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROVIDENCE EVERETT MEDICAL CENTER | 1321 Colby Ave, Everett, WA 98206 |
| 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 |
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| 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 |
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| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689751562 | Susan Louise Wilson | Advanced Practice Midwife | 1509 32nd St, Everett, WA 98201-4302 | 2006-10-31 |
| 1033183272 | Jill A Linton | Advanced Practice Midwife | 195 Memorial Dr, Suite 6, Everett, PA 15537-7056 | 2006-02-15 |
| 1396379863 | Erin Picolet | Advanced Practice Midwife | 900 Pacific Ave, Everett, WA 98201-4168 | 2020-02-24 |
| 1649657669 | Aleya M Gebhardt | Advanced Practice Midwife | 916 Pacific Ave Fl 2, Everett, WA 98201-4147 | 2015-04-28 |
| 1013315118 | Olivia Eisner | Advanced Practice Midwife | 916 Pacific Ave, 2nd Floor, Everett, WA 98201-4147 | 2014-12-05 |
| 1962809855 | Nicole Zickler | Advanced Practice Midwife | 916 Pacific Ave, 2nd Floor, Everett, WA 98201-4147 | 2014-11-20 |
| 1023414869 | Anna Habermeyer | Advanced Practice Midwife | 916 Pacific Ave 2nd Floor, Everett, WA 98201 | 2014-11-05 |
| 1215351911 | Sedigheh Dashtestani | Advanced Practice Midwife | 930 N Broadway, Everett, WA 98201-1409 | 2014-02-15 |
| 1841631991 | Jennifer Elizabeth Taylor Gaines | Advanced Practice Midwife | 916 Pacific Ave Fl 2, Everett, WA 98201-4147 | 2013-07-17 |
| 1982964912 | Margie Carol Neely | Advanced Practice Midwife | 916 Pacific Ave Fl 2, Everett, WA 98201-4147 | 2012-05-23 |
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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.