Organization Active NPI

Hope Family Medical Clinic, PLLC

  • Primary Care Clinic/Center
  • Edmonds, WA
National Provider Identifier
1033419221
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
UBI 603 043 924 Issued in WA
Legal business name
HOPE FAMILY MEDICAL CLINIC, PLLC
Practice address
7614 195TH St SW
Ste 203
Edmonds, WA 98026-6260
Phone
(425) 744-0709
Fax
(425) 771-1470
NPI assigned
Oct 22, 2010
Last updated
Oct 22, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Elsbeth Johann, ARNP
Title
Family Nurse Practitioner, BC
Phone
(425) 876-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X UBI 603 043 924 WA Primary

Addresses

Primary practice location

7614 195TH St SW
Ste 203
Edmonds, WA 98026-6260

Mailing address

7614 195TH St SW
Ste 203
Edmonds, WA 98026-6260
Phone (425) 744-0709

National Provider Directory

National Provider Directory

Locations

7614 195th St SW
Ste 203
Edmonds, WA 98026
Phone (206) 365-5000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287705600000",
    "number": "1033419221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7614 195TH ST SW",
            "address_2": "STE 203",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266260",
            "telephone_number": "425-744-0709",
            "fax_number": "425-771-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7614 195TH ST SW",
            "address_2": "STE 203",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980266260",
            "telephone_number": "425-744-0709",
            "fax_number": "425-771-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE FAMILY MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A",
        "authorized_official_last_name": "JOHANN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELSBETH",
        "authorized_official_title_or_position": "FAMILY NURSE PRACTITIONER, BC",
        "authorized_official_telephone_number": "425-876-2006",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "UBI 603 043 924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.