PROVIDENCE EVERETT MEDICAL CENTER (NPI# 1063551596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063551596 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE EVERETT MEDICAL CENTER |
| Other Organization Name | PROVIDENCE SLEEP INSTITUTE |
| Practice Address |
916 Pacific Ave 7th Floor Everett WA 98201-4147 |
| Mailing Address |
909 N Broadway Pbo Credentialing Everett WA 98201-1409 |
| Practice Telephone | 4252587460 |
| Practice Fax Number | 4252587656 |
| Mailing Telephone | 4253170699 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-09-22 |
| Authorized Official Name | MRS. 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 |
|---|---|---|---|---|---|
| Y | 261QS1200X |
Clinic/Center Specialization: Sleep Disorder Diagnostic |
MD00044480 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7131808 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Sleep Institute | 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 |
| 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 |
| 1740365766 | Providence Everett Medical Center | Dietitian, Registered | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2006-10-26 |
| 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 |
| 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 | 261QS1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Sleep Disorder Diagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083865471 | Providence Health & Services-wa | Clinic/Center | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2008-10-04 |
| 1013118652 | Robert H Price Md, Pllc | Clinic/Center | 10315 19th Ave Se, Ste 112, Everett, WA 98208-4268 | 2007-05-30 |
| 1194771402 | North Puget Sound Center for Sleep Disorders | Clinic/Center | 1728 W Marine View Dr, Suite 200, Everett, WA 98201-2094 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386206894 | Elite Sleep, LLC | Clinic/Center | 9633 Market Pl Unit 201, Lake Stevens, WA 98258-7944 | 2019-07-03 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| 1760616940 | Sleep Apnea Solutions | Clinic/Center | 14416 Ne 36th Str, O-10, Bellevue, WA 98007 | 2009-05-04 |
| 1962649400 | Pinnacle Health Care Pllc | Clinic/Center | 8412 W Gage Blvd, Kennewick, WA 99336-7123 | 2009-01-20 |
| 1871766261 | Robert L Horchover Dds Ps | Clinic/Center | 2101 4th Avenue, Ste 2330, Seattle, WA 98121-2317 | 2008-04-08 |
| 1821197401 | Sleep Health & Wellness Nw-vancouver | Clinic/Center | 1409 Franklin St, Suite 103, Vancouver, WA 98660-2899 | 2006-09-21 |
| 1265531792 | Central Washington Sleep Disorders Clinic PC | Clinic/Center | 111 University Pkwy, Suite 100, Yakima, WA 98901-1471 | 2006-09-21 |
| 1326053794 | Richland Sleep Lab, Inc | Clinic/Center | 7233 W Deschutes Ave, Suite A, Kennewick, WA 99336 | 2006-07-31 |
| 1306878905 | Mccormick Medical Distribution, Inc. | Clinic/Center | 635 Paradise Lane, Edmonds, WA 98020-4651 | 2006-07-06 |
| 1598707390 | Aspen Sleep Centers, Inc. | Clinic/Center | 12410 E. Sinto, Suite A, Spokane Valley, WA 99216 | 2006-06-13 |
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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.