WEST SEATTLE COMMUNITY CLINIC PLLC (NPI# 1902989577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902989577 |
| Entity Type | Organization |
| Organization Name | WEST SEATTLE COMMUNITY CLINIC PLLC |
| Practice Address |
9001 35th Ave Sw Seattle WA 98126-4801 |
| Practice Telephone | 2069379722 |
| Practice Fax Number | 2069352488 |
| Mailing Telephone | 2069379722 |
| Mailing Fax Number | 2069352488 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2009-01-29 |
| Authorized Official Name | MS. GRACE CECELIA GRYMES CHAPMAN (OWNER) |
| Authorized Official Telephone | 2069379722 |
| Authorized Official Credential | ARNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
AP30006867 | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9649997 | 05 |
| Street Address |
9001 35TH AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205014123 | Nancy Ann Serejch | Massage Therapist | 9001 35th Ave Sw, Seattle, WA 98126-3327 | 2008-02-01 |
| 1659584001 | Johnny Lee Lebord | Specialist | 9001 35th Ave Sw, Seattle, WA 98126-3820 | 2007-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407354657 | Vera Whole Health Wa PC | Clinic/Center | 2318 4th Avenue, Seattle, WA 98121 | 2018-01-23 |
| 1649782681 | Functional Medicine Northwest | Clinic/Center | 8010 15th Ave Nw, Suite D, Seattle, WA 98117 | 2017-10-31 |
| 1750790010 | Vera Whole Health Wa PC | Clinic/Center | 500 5th Ave North, Seattle, WA 98109 | 2014-08-11 |
| 1235577958 | Vera Whole Health Wa PC | Clinic/Center | 605 5th Ave S #150, Seattle, WA 98104-3886 | 2013-06-05 |
| 1326385451 | Hopecentral | Clinic/Center | 3826 S Othello St, Seattle, WA 98118-3562 | 2013-01-09 |
| 1619224698 | Tiger Health Clinic | Clinic/Center | 11680 Renton Ave S, Seattle, WA 98178-3044 | 2012-08-09 |
| 1144589680 | Grace Grymes Chapman Pllc | Clinic/Center | 5400 California Ave Sw Ste F, Seattle, WA 98136-1501 | 2012-05-03 |
| 1780985333 | Primary Care Clinic, Inc | Clinic/Center | 4203 Rainier Ave S, Suite C, Seattle, WA 98118-1390 | 2010-11-14 |
| 1316099724 | Holistic Health West | Clinic/Center | 4744 41st Ave Sw Ste 102, Seattle, WA 98116-4566 | 2007-01-17 |
| 1336254051 | Southgate Medical Clinic, P.s. | Clinic/Center | 6044 Martin Luther King Jr Way S Ste 104, Seattle, WA 98118-3179 | 2006-08-20 |
| Find all providers in SEATTLE | ||||
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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.