THE EVERETT CLINIC, PLLC (NPI# 1457403719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457403719 |
| Entity Type | Organization |
| Organization Name | THE EVERETT CLINIC, PLLC |
| Other Organization Name | THE EVERETT CLINIC |
| Practice Address |
1818 121st St Se Everett WA 98208-5985 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253573300 |
| Mailing Telephone | 4253573300 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2016-04-12 |
| Authorized Official Name | ANDREA RODEWALD (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 4253395460 |
| Is Organization Subpart | Y |
| Parent Organization Name | DAVITA EVERETT PHYSICIANS, INC. P.S. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 291U00000X | Clinical Medical Laboratory | 50D0892583 | WA | Laboratories |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7776503 | 05 | |
| WA | L&I | 33000 | 01 |
| Other Name | Type Code |
|---|---|
| The Everett Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255950572 | The Everett Clinic, Pllc | Family Medicine | 528 Myrtle Street, Laconner, WA 98257 | 2020-04-16 |
| 1770006330 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 18505 Bothell Way Ne Ste 215, Bothell, WA 98011-3717 | 2017-07-25 |
| 1861928830 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 17000 140th Ave Ne Unit 101, Woodinville, WA 98072-6928 | 2017-05-11 |
| 1598205908 | The Everett Clinic, Pllc | Family Medicine | 11800 Ne 128th St Ste 560, Kirkland, WA 98034-7208 | 2017-03-03 |
| 1619575933 | The Everett Clinic, Pllc | Non-Pharmacy Dispensing Site | 1717 13th St, Everett, WA 98201-1621 | 2020-10-09 |
| 1144837345 | The Everett Clinic, Pllc | Clinical Medical Laboratory | 11019 Canyon Rd E Ste A, Puyallup, WA 98373-3001 | 2020-09-30 |
| 1629698964 | The Everett Clinic, Pllc | Family Medicine | 912 32nd St Ste A, Anacortes, WA 98221-3473 | 2020-04-16 |
| 1689144388 | The Everett Clinic, Pllc | Family Medicine | 1200 112th Ave Ne Ste C160, Bellevue, WA 98004-3742 | 2018-11-26 |
| 1275074544 | The Everett Clinic, Pllc | Durable Medical Equipment & Medical Supplies | 21401 72nd Ave W, Edmonds, WA 98026-7702 | 2017-03-20 |
| 1164972527 | The Everett Clinic, Pllc | Internal Medicine | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2016-10-10 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE EVERETT CLINIC, PLLC | 3901 Hoyt Ave, Everett, WA 98201-4918 |
| Street Address |
1818 121ST ST SE |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-5985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740288281 | Kin L Lui | Internal Medicine | 1818 121st St Se, Everett, WA 98208-5985 | 2005-07-08 |
| 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 |
| 1104440312 | Michael E Castro | Radiology | 1818 121st St Se, Everett, WA 98208-5985 | 2020-06-03 |
| 1912471822 | Luisa Patino | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2019-01-14 |
| 1427408723 | Linda Nguyen | Family Medicine | 1818 121st St Se, Everett, WA 98208-5985 | 2016-06-16 |
| 1447652177 | Austin Buck | Family Medicine | 1818 121st St Se, Everett, WA 98208-5985 | 2014-09-25 |
| 1730507393 | Sarah Louise Pinney | Pediatrics | 1818 121st St Se, Everett, WA 98208-5985 | 2014-04-01 |
| 1235562711 | Staci H Swan | Nurse Practitioner | 1818 121st St Se, Everett, WA 98208-5985 | 2013-08-19 |
| 1508151689 | Luis Nino Enriquez | Family Medicine | 1818 121st St Se, Everett, WA 98208-5985 | 2011-06-16 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609393297 | Byram Healthcare Centers, Inc. | Durable Medical Equipment & Medical Supplies | 6301 36th Ave W, Everett, WA 98203-1265 | 2017-08-24 |
| 1124475272 | Crane Hardware LLC | Durable Medical Equipment & Medical Supplies | 4610 Evergreen Way Ste 8, Everett, WA 98203-2872 | 2016-05-18 |
| 1861858086 | Washington Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 11918 Airport Rd, Everett, WA 98204-5509 | 2016-01-04 |
| 1821433558 | Performance Modalities Inc | Durable Medical Equipment & Medical Supplies | 3202 Colby Ave Ste D, Everett, WA 98201-4324 | 2013-05-08 |
| 1336466879 | Edward J Chesnutis, Dpm, Pllc | Durable Medical Equipment & Medical Supplies | 10305 19th Ave Se Ste A, Everett, WA 98208-4252 | 2010-04-23 |
| 1205097847 | Recovercare, LLC. | Durable Medical Equipment & Medical Supplies | 917 134th St Sw, Ste B4, Everett, WA 98204-9377 | 2008-06-17 |
| 1154505378 | African Initiative for Community Development, Inc | Durable Medical Equipment & Medical Supplies | 111 Boston St, Everett, MA 02149-4727 | 2007-12-24 |
| 1023298320 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 5802 134th Pl Se, Everett, WA 98208-9426 | 2007-11-05 |
| 1093876781 | Terri A Knudson | Durable Medical Equipment & Medical Supplies | 2909 Hewitt Avenue, Everett, WA 98201-3821 | 2006-12-13 |
| 1063586931 | Hanger Prosthetics & Orthotics West Inc | Durable Medical Equipment & Medical Supplies | 4009 Colby Ave, Everett, WA 98201-4928 | 2006-11-20 |
| 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.