THE EVERETT CLINIC, PLLC (NPI# 1619575933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619575933 |
| Entity Type | Organization |
| Organization Name | THE EVERETT CLINIC, PLLC |
| Practice Address |
1717 13th St Everett WA 98201-1621 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4252975500 |
| Practice Fax Number | 4252975561 |
| Mailing Telephone | 4252975500 |
| Mailing Fax Number | 4252975561 |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2020-10-09 |
| Authorized Official Name | SHAWN SLACK (BOARD PRESIDENT) |
| Authorized Official Telephone | 4253395445 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Other Name | Type Code |
|---|---|
| Cancer Partnership | Other Name - Individual/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 |
| 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 |
| 1467907287 | The Everett Clinic, Pllc | Durable Medical Equipment & Medical Supplies | 21401 72nd Ave W, Edmonds, WA 98026-7702 | 2016-08-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | THE EVERETT CLINIC, PLLC | 3901 Hoyt Ave, Everett, WA 98201-4918 |
| Street Address |
1717 13TH ST |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225037773 | Anna Sturm | Physician Assistant | 1717 13th St, Suite 401, Everett, WA 98201-1621 | 2005-07-18 |
| 1063026417 | Susan Johannsen | Psychologist | 1717 13th St, Everett, WA 98201-1621 | 2020-09-02 |
| 1023630803 | Grant Lovell | Radiologic Technologist | 1717 13th St, Everett, WA 98201-1621 | 2020-05-14 |
| 1093372344 | Dorothy Colleen Todd | Nurse Practitioner | 1717 13th St, Everett, WA 98201-1621 | 2019-05-22 |
| 1124584198 | Zaynah Ali | Pharmacist | 1717 13th St, Everett, WA 98201-1621 | 2019-02-14 |
| 1639650138 | Elizabeth M Poli | Nurse Practitioner | 1717 13th St, Everett, WA 98201-1621 | 2018-08-23 |
| 1770073975 | Connie Huyen Dao | Physician Assistant | 1717 13th St, Everett, WA 98201-1621 | 2018-05-14 |
| 1518482959 | Teri Kawehionalani Chiemi Schleicher | Pharmacist | 1717 13th St, Everett, WA 98201 | 2017-08-07 |
| 1861913519 | Paul Scott Hoffmann | Pharmacist | 1717 13th St, Everett, WA 98201 | 2017-07-03 |
| 1386199586 | Kristina Lee Campbell | Nurse Practitioner | 1717 13th St, Suite 401, Everett, WA 98201-1621 | 2016-08-18 |
| 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 | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316287402 | Physical Rehabilitation & Wellness Center, Pllc | Non-Pharmacy Dispensing Site | 919 128th St Sw, Everett, WA 98204-6315 | 2013-02-26 |
| 1093068843 | Mcquinn Naturopathic, LLC | Non-Pharmacy Dispensing Site | 2808 Hoyt Ave, Suite 201, Everett, WA 98201-3551 | 2012-10-17 |
| 1881941342 | Healthy Balance Natural Medicine, Pllc | Non-Pharmacy Dispensing Site | 2804 Grand Ave, Suite 300, Everett, WA 98201-3430 | 2012-08-14 |
| 1700162302 | Dr. Jodi Bergs Integrative Family Health Clinic | Non-Pharmacy Dispensing Site | 3903 Colby Ave, Everett, WA 98201-4926 | 2011-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890268 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10541 Ne 4th St, Bellevue, WA 98004-5023 | 2020-08-10 |
| 1770193294 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4555 Stone Way N, Seattle, WA 98103-6647 | 2020-08-10 |
| 1386254811 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 123 Broadway E Ste A, Seattle, WA 98102-5711 | 2020-08-10 |
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1659981272 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 15911 Westminister Way N., Shoreline, WA 98113 | 2020-08-07 |
| 1841800752 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 517 Union St, Seattle, WA 98101-2308 | 2020-08-05 |
| 1437769320 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 10425 Ne 8th St, Bellevue, WA 98004-4346 | 2020-08-05 |
| 1184234072 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 2038 Nw Market St, Seattle, WA 98107-4012 | 2020-08-05 |
| 1619587482 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 4012 Sw Alaska St, Seattle, WA 98116-4529 | 2020-08-05 |
| 1083224919 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 1909 Queen Anne Ave N, Seattle, WA 98109-2549 | 2020-08-05 |
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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.