BRENDAN SELDERS (NPI# 1437106622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437106622 |
| Entity Type | Individual |
| Full Name | BRENDAN SELDERS |
| Credential | PA |
| Practice Address |
12728 19th Ave Se Suite 200 Everett WA 98208-6526 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 4252252700 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10004907 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8446312 | 05 | |
| RAILROAD MEDICARE | P00286191 | 01 | |
| WA | STATE LICENSE NUMBER | PA10004907 | 01 |
| Street Address |
12728 19TH AVE SE SUITE 200 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-6526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780643973 | Jessica Susan Webb | Nurse Practitioner | 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 | 2006-03-17 |
| 1366927253 | Victoria Leona Longstreth | Nurse Practitioner | 12728 19th Ave Se, Everett, WA 98208-6526 | 2018-09-26 |
| 1568916682 | Western Washington Medical Group, Inc Ps | Psychiatry & Neurology | 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 | 2016-08-05 |
| 1851710495 | Western Washington Medical Group | Pharmacist | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2014-04-10 |
| 1457793390 | Bariatric Surgery Clinic Trust | Surgery | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2013-07-19 |
| 1093064263 | Evelyn Woods | Dietitian, Registered | 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 | 2012-09-04 |
| 1568747012 | Jason Anthony Talavera | Internal Medicine | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2011-10-17 |
| 1477847606 | Western Washington Cardiology Tr | Internal Medicine | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2011-06-06 |
| 1114217510 | Western Washington Cardiology Tr | Internal Medicine | 12728 19th Ave Se, Suite 200, Everett, WA 98208-6526 | 2011-04-19 |
| 1770727307 | Jillian K Hamel | Nurse Practitioner | 12728 19th Ave Se, Ste 200, Everett, WA 98208-6526 | 2009-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912521956 | Juliana Martins | Physician Assistant | 31 Freeman Ave, Everett, MA 02149-5204 | 2020-06-05 |
| 1528606324 | Lynda Lee Consolo | Physician Assistant | 18 Woodlawn Ave, Everett, MA 02149-5417 | 2019-12-12 |
| 1538519202 | Kristen Shafer | Physician Assistant | 2038 Winding Ridge Rd, Everett, PA 15537-4274 | 2016-06-14 |
| 1588098909 | Lidia Yemchuk | Physician Assistant | 4201 Rucker Ave, Everett, WA 98203-2215 | 2013-08-22 |
| 1134426133 | Anthony Joseph Danna | Physician Assistant | 103 Garland St Emergency Department, Everett, MA 02149-5066 | 2011-02-28 |
| 1902058019 | Matthew James Slater | Physician Assistant | 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 | 2008-10-21 |
| 1417133216 | Patricia Ann Buehler | Physician Assistant | 3726 Broadway Ste 101, Everett, WA 98201-3787 | 2008-01-11 |
| 1558404814 | Margarita G Burdetsky | Physician Assistant | 391 Broadway Ste 204, Prohealth Intagrated Medical, Everett, MA 02149-3471 | 2007-02-15 |
| 1427127158 | Marcy Jo Herzog | Physician Assistant | 185 Hospital Dr Ste 1, Everett, PA 15537-7018 | 2006-11-07 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| Find all providers in EVERETT | ||||
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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.