BYWATER MEDICAL CONSULTANTS PLLC (NPI# 1033347422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033347422 |
| Entity Type | Organization |
| Organization Name | BYWATER MEDICAL CONSULTANTS PLLC |
| Other Organization Name | BYWATER PSYCHIATRIC CONSULTATION |
| Practice Address |
1911 E Division St Mount Vernon WA 98274-6703 |
| Mailing Address |
Po Box 1627 Mount Vernon WA 98273-1627 |
| Practice Telephone | 3607089741 |
| Practice Fax Number | 3605884192 |
| Mailing Telephone | 3607089741 |
| Mailing Fax Number | 8017809741 |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2020-04-06 |
| Authorized Official Name | ELIZABETH M. HOLMES (OWNER) |
| Authorized Official Telephone | 3607089741 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30007181 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Bywater Psychiatric Consultation | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 721 S 1st St, Mount Vernon, WA 982733812 | 3607089741 |
| Street Address |
1911 E DIVISION ST |
| City | MOUNT VERNON |
| State | WA |
| Zip Code | 98274-6703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376578773 | Holland Health Services, Inc | Durable Medical Equipment & Medical Supplies | 1911 E Division St, Suite A, Mount Vernon, WA 98274-6703 | 2006-07-12 |
| 1245772656 | Patricia Couch | Technician, Other | 1911 E Division St, Mount Vernon, WA 98274-6703 | 2016-11-16 |
| 1013009273 | Elizabeth M. Holmes | Nurse Practitioner | 1911 E Division St, Mount Vernon, WA 98274-6703 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123438 | Ankur Tarun Sanghvi | Peer Specialist | 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 | 2017-06-07 |
| 1932647187 | Claudia Diaz | Counselor | 23550 Garden St, Mount Vernon, WA 98274 | 2017-02-08 |
| 1871042002 | Richard Simcock Dds, Ps | Dentist | 130 S 15th St Suite 101, Mount Vernon, WA 98274 | 2016-09-29 |
| 1528228186 | Parampreet Singh Ghuman | Internal Medicine | 121 S. 12th St, Ste B, Mount Vernon, WA 98274 | 2008-06-16 |
| 1699940874 | Eugene Villanueva De Guzman | Internal Medicine | 208 S Hospital Pkwy, Mount Vernon, WA 98274 | 2008-04-28 |
| 1871775122 | Matthew John Novak | Internal Medicine | 208 Hospital Pkwy, Mount Vernon, WA 98274 | 2007-11-28 |
| 1568658797 | Emily A K Bianconi | Nurse Practitioner | 2101 Little Mountain Lane, Mount Vernon, WA 98274 | 2007-09-21 |
| 1659576981 | Peggy Randall | Counselor | 1420 S 12th, Mount Vernon, WA 98274 | 2007-06-18 |
| 1194937037 | Cascade Neurologic Clinic, Inc, P.s. | Clinic/Center | 1315 East Division St., Mt. Vernon, WA 98274 | 2007-05-04 |
| 1427171297 | Keri L D Halgren | Dentist | 1711 E Division Street, Mt Vernon, WA 98274 | 2007-04-09 |
| Find all providers in zip 98274 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1366700825 | Angela D. Franke | Nurse Practitioner | 301 Valley Mall Way # 10, Mount Vernon, WA 98273-5462 | 2012-05-02 |
| 1972723906 | Margaret M Ackerman | Nurse Practitioner | 301 Valley Mall Way Ste 110, Mount Vernon, WA 98273-5462 | 2007-05-01 |
| 1326093493 | Sandra Tate | Nurse Practitioner | 2920 Veterans Memorial Dr, Mount Vernon, IL 62864-5924 | 2006-05-24 |
| 1134745441 | Taylor Miller | Nurse Practitioner | 8402 Blackjack Rd, Mount Vernon, OH 43050-9193 | 2020-06-23 |
| 1639655293 | Tri-star Behavioral Health Inc | Nurse Practitioner | 11 W Prospect Ave Fl 3, Mount Vernon, NY 10550 | 2018-07-17 |
| 1457856825 | Winsley Calip-yero | Nurse Practitioner | 11 W Prospect Ave Fl 4, Mount Vernon, NY 10550-2017 | 2018-03-28 |
| 1811249857 | Mary Cathleen Lightwine | Nurse Practitioner | 600 N Main St, Mount Vernon, MO 65712-1004 | 2012-10-14 |
| 1205090313 | Alison Nicole Lorenz Forbes | Nurse Practitioner | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2008-07-17 |
| 1548472244 | Nikki L Behner | Nurse Practitioner | 117 N 1st St Ste 55, Mount Vernon, WA 98273-2858 | 2007-05-04 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 98274 |
Please comment or provide details below to improve the information on BYWATER MEDICAL CONSULTANTS PLLC.
| 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.