PROVIDENCE EVERETT MEDICAL CENTER (NPI# 1598783318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598783318 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE EVERETT MEDICAL CENTER |
| Other Organization Name | PROVIDENCE MATERNAL-FETAL MEDICINE |
| Practice Address |
900 Pacific Ave 4th Floor Everett WA 98201-4168 |
| Mailing Address |
909 N Broadway Pbo Credentialing Everett WA 98201-1409 |
| Practice Telephone | 4253046165 |
| Practice Fax Number | 4253046162 |
| Mailing Telephone | 4253170699 |
| Mailing Fax Number | 4253170291 |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-09-23 |
| Authorized Official Name | MRS. JOYCE KOBAYASHI (DIR REVENUE CYCLE MGMT NWSA) |
| Authorized Official Telephone | 4253170186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 7001738 | 05 | |
| WA | DSHS GENETIC COUNSELORS | 7112279 | 01 |
| WA | 7124902 | 05 |
| Other Name | Type Code |
|---|---|
| Providence Maternal-Fetal Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073773198 | Providence Everett Medical Center | Clinic/Center | 4112 Harbour Pointe Blvd, Suite 100, Mukilteo, WA 98275-4700 | 2008-06-12 |
| 1982805784 | Providence Everett Medical Center | Social Worker | 900 Pacific Ave, First Floor, Everett, WA 98201-4168 | 2007-05-30 |
| 1538377957 | Providence Everett Medical Center | Clinical Medical Laboratory | 1321 Colby Ave, Everett, WA 98201-1665 | 2007-05-18 |
| 1063551596 | Providence Everett Medical Center | Clinic/Center | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2007-02-05 |
| 1740344100 | Providence Everett Medical Center | Nutritionist | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2006-12-20 |
| 1255495024 | Providence Everett Medical Center | Nutritionist | 900 Pacific Ave, First Floor, Everett, WA 98201-4168 | 2006-12-19 |
| 1770643629 | Providence Everett Medical Center | Nurse Practitioner | 916 Pacific Ave, 1 South, Everett, WA 98201-4147 | 2006-12-11 |
| 1104993716 | Providence Everett Medical Center | Nurse Practitioner | 916 Pacific Ave, 7th Floor, Everett, WA 98201-4147 | 2006-11-29 |
| 1447326574 | Providence Everett Medical Center | Clinic/Center | 900 Pacific Ave, Suite 200, Everett, WA 98201-4168 | 2006-11-28 |
| 1992871735 | Providence Everett Medical Center | Clinic/Center | 1001 N Broadway, Suite A-3, Everett, WA 98201-1586 | 2006-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | PROVIDENCE EVERETT MEDICAL CENTER | 1321 Colby Ave, Everett, WA 98206 |
| Street Address |
900 PACIFIC AVE 4TH FLOOR |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265429062 | Joyce I Kulina | Nurse Practitioner | 900 Pacific Ave, Everett, WA 98201-4168 | 2005-10-05 |
| 1396379863 | Erin Picolet | Advanced Practice Midwife | 900 Pacific Ave, Everett, WA 98201-4168 | 2020-02-24 |
| 1093282956 | Brandi Lee Bohn | Speech-Language Pathologist | 900 Pacific Ave, Everett, WA 98201-4168 | 2018-10-30 |
| 1841766557 | Katrina De La Cruz | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2018-10-19 |
| 1639610660 | Leslie Collins | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2017-03-09 |
| 1235681990 | Kathryn Louthain | Occupational Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-10-28 |
| 1992255616 | Jordan Haruo Nakamura | Physical Therapist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-10-05 |
| 1659820983 | Carolyn Wetzel | Nurse Practitioner | 900 Pacific Ave, 5th Floor, Everett, WA 98201-4168 | 2016-09-28 |
| 1356898894 | Chelsea Pearsall | Behavioral Analyst | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-09-01 |
| 1518411867 | Sarah Nicole Pihl | Speech-Language Pathologist | 900 Pacific Ave, Everett, WA 98201-4168 | 2016-08-03 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659549236 | Eve M Bernstein | Obstetrics & Gynecology | 900 Pacific Ave, Suite 501, Everett, WA 98201-4168 | 2008-02-15 |
| 1295829265 | Darcy Renee Barry | Obstetrics & Gynecology | 900 Pacific Ave, 4th Floor, Everett, WA 98201-4168 | 2006-10-03 |
| 1346334489 | Harold Frank Andersen | Obstetrics & Gynecology | 900 Pacific Ave, 4th Floor, Everett, WA 98201-4168 | 2006-10-03 |
| 1831283886 | Donald A. Barford | Obstetrics & Gynecology | 900 Pacific Ave, 4th Floor, Everett, WA 98201-4168 | 2006-10-03 |
| 1538253448 | Thomas R. Easterling | Obstetrics & Gynecology | 900 Pacific Ave, 4th Floor, Everett, WA 98201-4168 | 2006-10-03 |
| 1033203849 | Jane E. Hitti | Obstetrics & Gynecology | 900 Pacific Ave, 4th Floor, Everett, WA 98201-4168 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538218441 | Bettina W Paek | Obstetrics & Gynecology | 1959 Ne Pacific St # 356460, Seattle, WA 98195-6460 | 2007-01-09 |
| 1770563397 | Peter G Napolitano | Obstetrics & Gynecology | Bldg 9040 Fitzsimmons Drive, Mchj-og Attn: Ltc Napolitano, Dept Obgyn Madigan Amc, Tacoma, WA 98431-0001 | 2006-01-19 |
| 1073889234 | Jennifer Leigh Katz Eriksen | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-6110 | 2012-03-31 |
| 1457677627 | Timothy Mitchell | Obstetrics & Gynecology | 2525 Ne 139th St Ste 270, Vancouver, WA 98686-2719 | 2010-04-13 |
| 1740418029 | Catherine Albright | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-2401 | 2009-06-25 |
| 1649432931 | Samantha Weed | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2008-06-27 |
| 1578735882 | Tri Cities Maternal Fetal Medicine Pllc | Obstetrics & Gynecology | 969 Stevens Dr, Suite 3a, Richland, WA 99352-3525 | 2008-03-26 |
| 1184808651 | Eryn J Hart Dutta | Obstetrics & Gynecology | 1608 S J St Fl 1, Tacoma, WA 98405 | 2007-12-20 |
| 1740464379 | Sarah Anne Waller | Obstetrics & Gynecology | 1229 Madison St, Suite 710, Seattle, WA 98104-3586 | 2007-12-18 |
| 1811197767 | Suchitra Chandrasekaran | Obstetrics & Gynecology | 1959 Ne Pacific St, Seattle, WA 98195-1250 | 2007-07-19 |
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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.