WATER'S EDGE FAMILY PRACTICE & WELLNESS CENTER (NPI# 1336584119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336584119 |
| Entity Type | Organization |
| Organization Name | WATER'S EDGE FAMILY PRACTICE & WELLNESS CENTER |
| Practice Address |
221 Second Street Langley WA 98260 |
| Mailing Address |
Po Box 1327 Langley WA 98260-1327 |
| Practice Telephone | 3602211060 |
| Practice Fax Number | 3602211062 |
| Mailing Telephone | 3602211060 |
| Mailing Fax Number | 3602211062 |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2013-05-07 |
| Authorized Official Name | DR. ANNASTASIA KOVSCEK (OWNER) |
| Authorized Official Telephone | 3602211060 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD60091880 | WA | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | WATER'S EDGE FAMILY PRACTICE & WELLNESS CENTER, LLC | 221 2nd St, Suite 6a, Langley, WA 98260-8664 |
| Street Address |
221 SECOND STREET |
| City | LANGLEY |
| State | WA |
| Zip Code | 98260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423276 | Gina Valenti Bernal | Physical Therapist | 432 Third St, Langley, WA 98260 | 2020-10-02 |
| 1912504085 | Erin Flynn Larson | Physical Therapy Assistant | 432 Third St., Langley, WA 98260 | 2020-10-02 |
| 1245871441 | Sage Counterstrain, Pllc | Clinic/Center | Soundview Center, 432 3rd St, Langley, WA 98260 | 2019-09-30 |
| 1588131866 | Stacy Ann Wallace | Naturopath | 3976 East Harbor Road, Langley, WA 98260 | 2018-10-25 |
| 1902328610 | Tina Furman | Home Health | 3480 Passage Way, Langley, WA 98260 | 2017-07-13 |
| 1477907756 | Metamorphe Health Clinic | Clinic/Center | 3976 E. Harbor Road, Langley, WA 98260 | 2016-04-22 |
| 1083026488 | Donna Brand Selig | Registered Nurse | 209 5th Street, Langley, WA 98260 | 2014-05-20 |
| 1710218714 | Tessa May Mclachlan | Mechanotherapist | 225 Anthes Ave, Suite 101, Langley, WA 98260 | 2010-01-15 |
| 1184861437 | Debby E. Elwell | Marriage & Family Therapist | 207 Anthes St., Langley, WA 98260 | 2009-01-08 |
| 1710157359 | Judith Skenazy | Psychologist | 5310 Maple Glen, Langley, WA 98260 | 2008-03-11 |
| Find all providers in zip 98260 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417143256 | Annastasia Marie Kovscek | Family Medicine | 221 2nd Street, #6a, Langley, WA 98260 | 2007-09-14 |
| 1922155977 | Langley Medical Clinic Inc | Family Medicine | 210 W Church St, Langley, OK 74350 | 2007-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010957 | Olympic Medical Pllc | Family Medicine | 6342 Littlerock Rd Sw Bldg 3, Tumwater, WA 98512-7332 | 2020-10-13 |
| 1124631296 | Direct Care Clinics Us PC | Family Medicine | 2307 Se 3rd Circle, Suite 203, Vancouver, WA 98661-9860 | 2020-08-28 |
| 1851902605 | Northwest Clinical Services | Family Medicine | 825 Se Bishop Blvd Ste 301c, Pullman, WA 99163-5517 | 2020-08-14 |
| 1003424128 | Kelly P Grenner | Family Medicine | 15424 Ne 160th St, Woodinville, WA 98072-8180 | 2020-07-14 |
| 1851919476 | Thuthi Enterprises, LLC | Family Medicine | 715 N Park Ctr # A, Selah, WA 98942-1174 | 2020-07-09 |
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1245856830 | Jackie C Toh | Family Medicine | 13684 18th Ave Sw, Burien, WA 98166-1047 | 2020-06-19 |
| 1669097127 | Dawnmd LLC | Family Medicine | 540 E Main St Ste A, Pullman, WA 99163-2660 | 2020-06-10 |
| 1427672310 | Andrea Lauren Cistulli | Family Medicine | 3619 Talbot Rd S Ste 401, Renton, WA 98055-5708 | 2020-06-05 |
| 1114540457 | Country Doctor Community Clinic | Family Medicine | 2410 E Cherry St, Seattle, WA 98122-4832 | 2020-05-21 |
| 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.