KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 (NPI# 1285719609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285719609 |
| Entity Type | Organization |
| Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 |
| Other Organization Name | EVERGREENHEALTH HOSPICE CARE |
| Practice Address |
12822 124th Ln Ne Kirkland WA 98034-7612 |
| Mailing Address |
12040 Ne 128th St Ms #103 Kirkland WA 98034-3013 |
| Practice Telephone | 4258993300 |
| Mailing Telephone | 4258993300 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | TINA MYCROFT (SR. VP-CFO) |
| Authorized Official Telephone | 4258992606 |
| Is Organization Subpart | Y |
| Parent Organization Name | KING COUNTY PUBLIC HOSPITAL DISTRICT NO. 2 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 315D00000X | Hospice, Inpatient | Nursing & Custodial Care Facilities | ||
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 3990231 | 05 |
| Other Name | Type Code |
|---|---|
| EvergreenHealth Hospice Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588662761 | King County Public Hospital District No. 2 | Home Health | 11800 Ne 128th St Ste 200, Kirkland, WA 98034-7211 | 2005-07-12 |
| 1548740210 | King County Public Hospital District No. 2 | Neurological Surgery | 939 Caroline St, Port Angeles, WA 98362 | 2018-08-21 |
| 1043694185 | King County Public Hospital District No. 2 | Clinic/Center | 12333 Ne 130th Ln, #420, Kirkland, WA 98034-7467 | 2015-07-18 |
| 1750612883 | King County Public Hospital District No. 2 | Family Medicine | 8980 161st Ave Ne, Suite 400, Redmond, WA 98052-7554 | 2010-01-29 |
| 1538213327 | King County Public Hospital District No. 2 | Community/Behavioral Health | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-22 |
| 1497803829 | King County Public Hospital District No. 2 | Psychiatry & Neurology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2007-01-08 |
| 1568535136 | King County Public Hospital District No. 2 | Radiology | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-15 |
| 1285706036 | King County Public Hospital District No. 2 | Pediatrics | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-11-15 |
| 1154411338 | King County Public Hospital District No. 2 | Rehabilitation Unit | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-10-16 |
| 1033174933 | King County Public Hospital District No. 2 | General Acute Care Hospital | 12040 Ne 128th St, Kirkland, WA 98034-3013 | 2006-04-20 |
| Street Address |
12822 124TH LN NE |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-7612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871682856 | Ann Marie O'neill | Nurse Practitioner | 12822 124th Ln Ne, Ms-9, Kirkland, WA 98034-7612 | 2006-10-11 |
| 1104276732 | Nicole Elise | Nurse Practitioner | 12822 124th Ln Ne, Kirkland, WA 98034-7612 | 2016-06-14 |
| 1437588431 | Michael Ayres Vanlaanen | Pharmacist | 12822 124th Ln Ne, Kirkland, WA 98034-7612 | 2013-11-11 |
| 1477751139 | Meredith Blayne Brass | Internal Medicine | 12822 124th Ln Ne, Kirkland, WA 98034-7612 | 2007-07-04 |
| 1659458230 | Hope Wechkin | Family Medicine | 12822 124th Ln Ne, Kirkland, WA 98034-7612 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891958153 | Public Hospital District No 2 | Hospice Care, Community Based | 12040 Ne 128th St # Ms -119, Kirkland, WA 98034-3013 | 2008-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144038 | Signature Hospice Bellingham, LLC | Hospice Care, Community Based | 459 W Stuart Rd, Bellingham, WA 98226-1204 | 2019-09-30 |
| 1609417765 | Signature Hospice Snohomish, LLC | Hospice Care, Community Based | 1510 140th Ave Ne Ste 100, Bellevue, WA 98005-4572 | 2019-09-30 |
| 1598318941 | Continuum Care of Snohomish, LLC | Hospice Care, Community Based | 1000 Se Everett Mall Way Ste 402, Everett, WA 98208-2814 | 2019-07-24 |
| 1477010940 | Envision Hospice of Washington LLC | Hospice Care, Community Based | 402 Black Hills Ln Sw Ste 402b, Olympia, WA 98502-8145 | 2019-02-21 |
| 1578083416 | Pharos Care Hospice | Hospice Care, Community Based | 2813 63rd Avenue Ct Nw, Gig Harbor, WA 98335-8455 | 2017-06-21 |
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1639415466 | Hospice of Kitsap County | Hospice Care, Community Based | 10356 Silverdale Way Nw, Silverdale, WA 98383-7674 | 2012-12-26 |
| 1083947709 | Providence Health & Services - Washington | Hospice Care, Community Based | 2731 Wetmore Ave Ste 500, Everett, WA 98201-3585 | 2009-09-14 |
| 1093870487 | Harbors Home Health & Hospice | Hospice Care, Community Based | 201 7th St, Hoquiam, WA 98550-2506 | 2006-12-26 |
| 1174693139 | Skagit Hospice Services, LLC | Hospice Care, Community Based | 227 Freeway Dr, Suite A, Mount Vernon, WA 98273-2805 | 2006-11-08 |
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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.