THE EVERETT CLINIC, PLLC (NPI# 1770006330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770006330 |
| Entity Type | Organization |
| Organization Name | THE EVERETT CLINIC, PLLC |
| Other Organization Name | THE EVERETT CLINIC AT BOTHELL |
| Practice Address |
18505 Bothell Way Ne Ste 215 Bothell WA 98011-3717 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4255953830 |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2018-03-27 |
| Authorized Official Name | ANDREA RODEWALD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4253395460 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA EVERETT PHYSICIANS, INC. P.S. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 50D2137850 | WA | Laboratories |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| The Everett Clinic at Bothell | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950572 | The Everett Clinic, Pllc | Family Medicine | 528 Myrtle Street, Laconner, WA 98257 | 2020-04-16 |
| 1861928830 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 17000 140th Ave Ne Unit 101, Woodinville, WA 98072-6928 | 2017-05-11 |
| 1598205908 | The Everett Clinic, Pllc | Family Medicine | 11800 Ne 128th St Ste 560, Kirkland, WA 98034-7208 | 2017-03-03 |
| 1619575933 | The Everett Clinic, Pllc | Non-Pharmacy Dispensing Site | 1717 13th St, Everett, WA 98201-1621 | 2020-10-09 |
| 1144837345 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2020-09-30 |
| 1629698964 | The Everett Clinic, Pllc | Family Medicine | 912 32nd St Ste A, Anacortes, WA 98221-3473 | 2020-04-16 |
| 1689144388 | The Everett Clinic, Pllc | Family Medicine | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004-3742 | 2018-11-26 |
| 1275074544 | The Everett Clinic, Pllc | Durable Medical Equipment & Medical Supplies | 21401 72nd Ave W, Edmonds, WA 98026-7702 | 2017-03-20 |
| 1164972527 | The Everett Clinic, Pllc | Internal Medicine | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2016-10-10 |
| 1467907287 | The Everett Clinic, Pllc | Durable Medical Equipment & Medical Supplies | 21401 72nd Ave W, Edmonds, WA 98026-7702 | 2016-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE EVERETT CLINIC, PLLC | 3901 Hoyt Ave, Everett, WA 98201-4918 |
| Street Address |
18505 BOTHELL WAY NE STE 215 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98011-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714476 | Giovanna Dominique Seibel | Behavior Technician | 19204 North Creek Parkway, Building 2 Ste 110, Bothell, WA 98011 | 2020-06-09 |
| 1366070880 | Cristian Josue Rivera Nales | Behavioral Analyst | 19204 North Creek Pkwy Building 2, Suite 110, Bothell, WA 98011 | 2020-03-30 |
| 1205466968 | Ashley Lynn Lockwood O'neil | Counselor | 9201 120th Ave Ne, #108, Bothell, WA 98011 | 2020-01-22 |
| 1508415290 | Alexis Catalina Bailey | Behavior Technician | 19204 North Creek Pkwy, Building 2, Suite 110, Bothell, WA 98011 | 2019-09-05 |
| 1790337194 | Nw Foot and Ankle Specialists, LLC | Podiatrist | 12900 Ne 180th St, Ste 150, Bothell, WA 98011 | 2019-07-15 |
| 1154849784 | Andrea Reynolds | Counselor | 10516 East Riverside Drive, Bothell, WA 98011 | 2017-09-04 |
| 1912353111 | Pediatric Associates, Inc., Dba Allegro Pediatrics | Pediatrics | 11724 Ne 195th Street, Suite #100, Bothell, WA 98011 | 2016-05-06 |
| 1699145508 | Kelsie Ann Mcgladrey | Physical Therapist | 18504 Bethell Way Ne, Bethell, WA 98011 | 2015-10-05 |
| 1205217882 | Isaac-gregory Hyde Robancho | Massage Therapist | 10024 Main Street, Suite 2 C, Bothell, WA 98011 | 2015-06-09 |
| 1962889154 | Jennifer Zhang Colbert | Dentist | 19115 112th Ave Ne., Suite 6101, Bothell, WA 98011 | 2015-04-27 |
| Find all providers in zip 98011 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467732735 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 24040 Bothell Everett Hwy, Bothell, WA 98021-9342 | 2011-08-18 |
| 1609024397 | Byram Healthcare Centers, Inc. | Durable Medical Equipment & Medical Supplies | 19820 N Creek Pkwy Ste 100, Bothell, WA 98011-8227 | 2008-09-05 |
| 1245383348 | Seattle Children's Hospital | Durable Medical Equipment & Medical Supplies | 2525 220th St Se, #101, Bothell, WA 98021-4440 | 2007-01-19 |
| 1376693945 | Verathon Inc. | Durable Medical Equipment & Medical Supplies | 21222 30th Dr Se, Suite 120, Bothell, WA 98021-7019 | 2007-01-12 |
| 1669568101 | Eclectec Innovations LLC | Durable Medical Equipment & Medical Supplies | 23702 3rd Pl W, Bothell, WA 98021-8693 | 2006-10-04 |
| 1306955620 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 19107 Bothell Way Northeast, Bothell, WA 98011-2938 | 2006-08-30 |
| 1295844504 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 22631 Bothell Way Southeast, Canyon Park Shopping Center, Bothell, WA 98021-8401 | 2006-08-30 |
| 1558376533 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 20812 Bothell Everett Hwy, Bothell, WA 98021-8404 | 2006-07-29 |
| 1316962954 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 18921 Bothell Way Ne, Bothell, WA 98011-1934 | 2006-07-13 |
| 1790721397 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 20711 Bothell Everett Hwy, Bothell, WA 98012-7139 | 2006-06-21 |
| Find all providers in BOTHELL | ||||
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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.