REBECCA LOUISE FORMOSA


Address: 1321 Colby Ave, Everett, WA 98201-1665
Phone: 4252612000

REBECCA LOUISE FORMOSA (NPI# 1437602935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437602935
Entity Type Individual
Full Name REBECCA LOUISE FORMOSA
Credential ARNP
Practice Address 1321 Colby Ave
Everett
WA 98201-1665
Mailing Address Po Box 3360
Portland
OR 97208-3360
Practice Telephone 4252612000
Mailing Telephone 8667472455
Enumeration Date 2016-08-01
Last Update Date 2018-09-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner AP60860345 WA Physician Assistants & Advanced Practice Nursing Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
7088 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2829 Harvey St, Madison, WI 537053623 8019791013

Office Location

Street Address 1321 COLBY AVE
City EVERETT
State WA
Zip Code 98201-1665

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073519328 Albert Dominick Pacifico II Internal Medicine 1321 Colby Ave, Medical Staff Office, Everett, WA 98201-1665 2005-06-22
1083239610 Arianna Randolph Social Worker 1321 Colby Ave, Everett, WA 98201-1665 2020-06-09
1619527595 Katherine Doreen Carpenter Pharmacy Technician 1321 Colby Ave, C-wing First Floor, Everett, WA 98201 2019-09-12
1396302477 Ashley L Grieve Nurse Practitioner 1321 Colby Ave, Everett, WA 98201-1665 2019-05-23
1588140073 Naa Afadua Annoh Nurse Practitioner 1321 Colby Ave, Everett, WA 98201-1665 2018-07-17
1386170694 Katherine Mccusker Nurse Practitioner 1321 Colby Ave, Everett, WA 98201-1665 2017-05-05
1144673153 Julie Editha Quandt Nurse Practitioner 1321 Colby Ave, Everett, WA 98201-1665 2016-07-14
1013361518 Rhadika Mccormick Souza Emergency Medicine 1321 Colby Ave, Everett, WA 98201-1665 2016-04-20
1013379114 Katherine Morgan Internal Medicine 1321 Colby Ave, Everett, WA 98201-1665 2016-03-28
1386020642 Jimmy Young Ahn Pharmacist 1321 Colby Ave, Everett, WA 98201-1665 2015-08-09
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851933642 Julia Kase Nurse Practitioner 728 134th St Sw Ste 207, Everett, WA 98204-5322 2019-10-13
1740765650 Joan W Kamata Nurse Practitioner 38 Carter St Apt 313, Everett, MA 02149-2525 2018-09-26
1679092704 Bethell Assefa Nurse Practitioner 3624 Colby Ave Ste B, Everett, WA 98201-4789 2017-09-09
1518011089 Susan Farist Butler Nurse Practitioner Tri City Mhc, 173 Chelsea St, Everett, MA 02149 2007-01-22
1780643973 Jessica Susan Webb Nurse Practitioner 12728 19th Ave Se, Suite 300, Everett, WA 98208-6526 2006-03-17
1063499168 Tracy J Wilbraham Nurse Practitioner 173 Chelsea St, Everett, MA 02149-4632 2005-12-29
1912518093 Holly Anne Bernstein Nurse Practitioner 3927 Rucker Ave, Everett, WA 98201-4833 2020-08-12
1073124491 Alana Brianne Beck Nurse Practitioner 1818 121st St Se, Everett, WA 98208-5985 2020-08-10
1588273114 Dayna Wong Nurse Practitioner 1818 121st St Se, Everett, WA 98208-5985 2020-07-29
1063021137 Katelyn Pedersen Nurse Practitioner 3927 Rucker Ave, Everett, WA 98201-4833 2020-07-24
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Competitor

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City EVERETT
Zip Code 98201

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Dataset Information

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.

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