SELECT FAMILY CLINIC LLC (NPI# 1184269839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184269839 |
| Entity Type | Organization |
| Organization Name | SELECT FAMILY CLINIC LLC |
| Practice Address |
15324 Main St E Ste B Sumner WA 98390-2698 |
| Mailing Address |
17914 46th Dr Se Bothell WA 98012-7585 |
| Practice Telephone | 2534708078 |
| Mailing Telephone | 2534708078 |
| Enumeration Date | 2019-11-16 |
| Last Update Date | 2019-11-16 |
| Authorized Official Name | MAUA W SWAI (FAMILY NURSE PRACTITIONER) |
| Authorized Official Telephone | 2534708078 |
| Authorized Official Credential | ARNP, FNP-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SELECT FAMILY CLINIC LLC | 15324 Main St E Ste B, Sumner, WA 98390-2698 |
| Street Address |
15324 MAIN ST E STE B |
| City | SUMNER |
| State | WA |
| Zip Code | 98390-2698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275610081 | Richard Quint Cockrell | Chiropractor | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-01 |
| 1336602762 | Maua Wingi Swai | Family Medicine | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2019-04-11 |
| 1023340601 | Stacy Laine Lewis | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2010-02-05 |
| 1588892228 | Nicole Lynn Howard | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2009-07-01 |
| 1043385438 | Courtney Janelle Madlung | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-21 |
| 1174698583 | Ranjiv Singh Bains | Chiropractor | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-21 |
| 1396819918 | Annamarie Lucy Barquest | Massage Therapist | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-17 |
| 1093887663 | Chiropractic Healthcare Center, P S | Chiropractor | 15324 Main St E Ste B, Sumner, WA 98390-2698 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669996211 | Michael Johnson-money | Pharmacist | 20904 Highway-410, Bonney Lake, WA 98390 | 2017-07-26 |
| 1295150498 | Sound Associates Western Washington LLC | Hearing Instrument Specialist | 15324 Main St. E, Ste. B, Sumner, WA 98390 | 2014-02-25 |
| 1811330129 | Callie Leah Macleod | Student in an Organized Health Care Education/Training Program | 5805 Parker Rd, Sumner, WA 98390 | 2013-04-17 |
| 1699020388 | Alex George Wardle | Pharmacist | 20901 Highway 410, Bonney Lake, WA 98390 | 2012-07-18 |
| 1417102112 | Laura Christine Vandyk | Dentist | 1006 C Fryar Ave, Sumner, WA 98390 | 2008-11-21 |
| 1164631248 | Jeff Lee Sisco | Massage Therapist | 21157 State Route 410, Bonney Lake, WA 98390 | 2007-05-22 |
| 1215053764 | Assisted Living Concepts Inc | Assisted Living Facility | 5713 Parker Road, Sumner, WA 98390 | 2007-03-22 |
| 1518007350 | Julie Bush Webster | Marriage & Family Therapist | 920 Alder Avenue, Suite 203, Sumner, WA 98390 | 2007-02-08 |
| 1154478014 | Bonney Lake Optical, Inc | Durable Medical Equipment & Medical Supplies | 21221 Hwy 410, Bonney Lake, WA 98390 | 2007-01-04 |
| 1437248986 | Christopher John Nielsen | Dentist | 3106-e Sumner-tapps Hwy E, Sumner, WA 98390 | 2006-10-12 |
| Find all providers in zip 98390 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073113304 | Tasha Rucker | Nurse Practitioner | 2372 Us49-e, Sumner, MS 38957 | 2020-10-27 |
| 1154939965 | Ann Marie Bock | Nurse Practitioner | 15178 V Ave, Sumner, IA 50674-7622 | 2020-07-17 |
| 1780209205 | Monica Leigh Hevron | Nurse Practitioner | 516 County Road 32200, Sumner, TX 75486-5707 | 2020-06-10 |
| 1245880020 | Sara Stover | Nurse Practitioner | 10940 Lawrence Rd, Sumner, IL 62466-4915 | 2019-09-13 |
| 1386180610 | Sonja Pennington | Nurse Practitioner | 2372 Us-49e Unit 240, Sumner, MS 38957 | 2017-01-10 |
| 1306966502 | Court Square Rural Health Clinic | Nurse Practitioner | 406 East Court St., Sumner, MS 38957 | 2007-03-30 |
| 1962033415 | Kathryn Marie Arthur | Nurse Practitioner | 1004 E 1st St, Sumner, IA 50674-1618 | 2020-02-03 |
| 1922650357 | Ariana Norell Mcdonald | Nurse Practitioner | 1420 Main St, Sumner, WA 98390-1810 | 2019-07-16 |
| 1649735309 | Jessica M Shea-hebrink | Nurse Practitioner | 909 W 1st St, Sumner, IA 50674-1203 | 2019-02-07 |
| 1790161511 | Ashley Nichole Kelly | Nurse Practitioner | 5814 Graham Ave Ste 100, Sumner, WA 98390-2728 | 2015-08-04 |
| Find all providers in SUMNER | ||||
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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.