Active NPI
Vera Whole Health Wa PC
- Primary Care Clinic/Center
- Everett, WA
National Provider Identifier
1023668407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- VERA WHOLE HEALTH WA PC
- Practice address
- 4933 Evergreen Way
Everett, WA 98203-2828 - Phone
- (425) 903-3070
- Fax
- (425) 953-5768
- NPI assigned
- Sep 17, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Janell Hansen
- Title
- Licensing Analyst
- Phone
- (206) 395-6973
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
4933 Evergreen Way
Everett, WA 98203-2828
Mailing address
100 W Towne Ridge Pkwy Ste 200
Sandy, UT 84070-5530
Phone (206) 395-6870
Other names 1
- Vera Whole Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221004001162 | WA | Part B Supplier - Clinic/Group Practice | 3577985282 |
Receives reassigned benefits from 12 practitioners 4 other NPIs on this enrollment Practice locations: Everett, WA; Tukwila, WA; Seattle, WA; Kirkland, WA |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2172674 | Vera Whole Health | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
4933 Evergreen Way
Everett, WA 98203
Phone (425) 903-3070
Practitioners & affiliated clinicians
Practitioners 13
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1023668407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W TOWNE RIDGE PKWY STE 200",
"city": "SANDY",
"state": "UT",
"postal_code": "840705530",
"telephone_number": "206-395-6870",
"fax_number": "206-770-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4933 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032828",
"telephone_number": "425-903-3070",
"fax_number": "425-953-5768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VERA WHOLE HEALTH WA PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-17",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "HANSEN",
"authorized_official_first_name": "JANELL",
"authorized_official_title_or_position": "LICENSING ANALYST",
"authorized_official_telephone_number": "206-395-6973"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Vera Whole Health",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Vera Whole Health",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.