PRECIOUS MEDICIAL SPA, LLC (NPI# 1578123113) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578123113 |
| Entity Type | Organization |
| Organization Name | PRECIOUS MEDICIAL SPA, LLC |
| Practice Address |
1728 W. Marine View Dr Suite 212 Everett WA 98201 |
| Practice Telephone | 4254183793 |
| Mailing Telephone | 4254183793 |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2019-06-17 |
| Authorized Official Name | HYESOON CHOI (OWNER) |
| Authorized Official Telephone | 4254183793 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WR0400X |
Registered Nurse Specialization: Rehabilitation |
Nursing Service Providers | ||
| N | 364SW0102X |
Clinical Nurse Specialist Specialization: Women's Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 364SP0808X |
Clinical Nurse Specialist Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1728 W. MARINE VIEW DR SUITE 212 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 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 |
| 1386034882 | Myla Marie Whitney | Counselor | 2613 W. Marine Drive, Everett, WA 98201 | 2015-02-04 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 364SP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770661068 | Vicki Lynn Britt | Clinical Nurse Specialist | 1728 W Marine View Dr. Ste 109, Everett, WA 98201 | 2006-11-02 |
| 1578028452 | Karla G Ogden | Clinical Nurse Specialist | 4526 Federal Ave, Everett, WA 98203-2132 | 2019-02-05 |
| 1871688374 | Nancy D Rider | Clinical Nurse Specialist | 4526 Federal Ave, Everett, WA 98203 | 2006-10-03 |
| 1952343436 | Joanne E. Sprunger | Clinical Nurse Specialist | 3322 Broadway, Everett, WA 98201-4425 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790008217 | Lori Ann Drews | Clinical Nurse Specialist | 415 E Mountain View Ave, Ste. 301, Ellensburg, WA 98926-5802 | 2010-03-11 |
| 1083892764 | Sylvia G Lagdan Mn Arnp Bc Pllc | Clinical Nurse Specialist | 7414 91st Avenue Ct Sw, Lakewood, WA 98498-3978 | 2008-02-05 |
| 1780779322 | Nancy Rider, LLC | Clinical Nurse Specialist | 507 S Washington, Spokane, WA 99204 | 2006-10-03 |
| 1093282667 | Sarah Naomi Sweeney | Clinical Nurse Specialist | 20 Nw 1st St, Coupeville, WA 98239-3141 | 2018-10-31 |
| 1962978379 | Lynn Ledora Bradshaw | Clinical Nurse Specialist | 3645 E Mcleod Rd, Bellingham, WA 98226-8700 | 2018-10-23 |
| 1801300165 | Laurie Ann Womack | Clinical Nurse Specialist | 1615 Delaware St, Longview, WA 98632-2367 | 2017-11-24 |
| 1568734747 | Fincher Psychiatry and Associates | Clinical Nurse Specialist | 24605 35th Ave S, Kent, WA 98032-4186 | 2012-02-02 |
| 1285800177 | Sandra Saffran Arnp Phd Healthcare Associates PC | Clinical Nurse Specialist | 4601 Tieton Dr, Yakima, WA 98908-3477 | 2008-05-01 |
| 1609057231 | Germaine D'anniballe | Clinical Nurse Specialist | 2719 E Madison St, Suite 301, Seattle, WA 98112-4752 | 2007-11-26 |
| 1770657629 | Diane Kaplan | Clinical Nurse Specialist | 23700 Edmonds Way, Edmonds, WA 98026-8978 | 2006-11-20 |
| 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.