PROVIDENCE EVERETT MEDICAL CENTER (NPI# 1255495024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255495024 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE EVERETT MEDICAL CENTER |
| Other Organization Name | PROVIDENCE CHILDREN'S CENTER |
| Practice Address |
900 Pacific Ave First Floor Everett WA 98201-4168 |
| Mailing Address |
909 N Broadway Pbo Credentialing Everett WA 98201-1409 |
| Practice Telephone | 4252587311 |
| Practice Fax Number | 4252587618 |
| Mailing Telephone | 4253170699 |
| Mailing Fax Number | 4253170291 |
| Enumeration Date | 2006-12-19 |
| 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 |
|---|---|---|---|---|---|
| N | 133N00000X | Nutritionist | Dietary & Nutritional Service Providers | ||
| N | 133NN1002X |
Nutritionist Specialization: Nutrition, Education |
Dietary & Nutritional Service Providers | ||
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7102718 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Children's Center | 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 |
| 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 |
900 PACIFIC AVE FIRST FLOOR |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429062 | Joyce I Kulina | Nurse Practitioner | 900 Pacific Ave, Everett, WA 98201-4168 | 2005-10-05 |
| 1396379863 | Erin Picolet | Advanced Practice Midwife | 900 Pacific Ave, Everett, WA 98201-4168 | 2020-02-24 |
| 1093282956 | Brandi Lee Bohn | Speech-Language Pathologist | 900 Pacific Ave, Everett, WA 98201-4168 | 2018-10-30 |
| 1841766557 | Katrina De La Cruz | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2018-10-19 |
| 1639610660 | Leslie Collins | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2017-03-09 |
| 1235681990 | Kathryn Louthain | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-10-28 |
| 1992255616 | Jordan Haruo Nakamura | Physical Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-10-05 |
| 1659820983 | Carolyn Wetzel | Nurse Practitioner | 900 Pacific Ave, 5th Floor, Everett, WA 98201-4168 | 2016-09-28 |
| 1356898894 | Chelsea Pearsall | Behavioral Analyst | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-09-01 |
| 1518411867 | Sarah Nicole Pihl | Speech-Language Pathologist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-08-03 |
| 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 | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164688362 | Christa Lee Kleiner | Nurse Practitioner | 1509 California St, Everett, WA 98201-3540 | 2008-08-06 |
| 1255530556 | Ellen M. Stoecker | Nurse Practitioner | 2801 10th St, Everett, WA 98201-1414 | 2007-07-16 |
| 1285181925 | Analisa Echeverria | Nurse Practitioner | 391 Broadway, Suite 301, Everett, MA 02149-3470 | 2016-09-09 |
| 1235562711 | Staci H Swan | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
| Find all providers with the same taxonomy | ||||
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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.