NPIMap

Organization Active NPI

Sundew Integrated Recovery PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1033850474
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SUNDEW INTEGRATED RECOVERY PLLC
Practice address
5005 200TH St SW Ste B
Lynnwood, WA 98036-6679
Phone
(425) 224-7188
Fax
(949) 250-6911
NPI assigned
Apr 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dr. Andrew Dzikowski, ND, L.AC, ARNPNPI 1104496132
Title
Medical Director
Phone
(201) 600-6817

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
NaturopathGroup: 193200000X MULTI-SPECIALTY GROUP 175F00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

5005 200TH St SW Ste B
Lynnwood, WA 98036-6679

Mailing address

5005 200TH St SW Ste B
Lynnwood, WA 98036-6679
Phone (425) 224-7188

National Provider Directory

National Provider Directory

Locations

5005 200th St SW
Ste 102
Lynnwood, WA 98036

Practitioners & affiliated clinicians

Practitioners 4

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": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1033850474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 200TH ST SW STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366679",
            "telephone_number": "425-224-7188",
            "fax_number": "949-250-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 200TH ST SW STE B",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980366679",
            "telephone_number": "425-224-7188",
            "fax_number": "949-250-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNDEW INTEGRATED RECOVERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-07",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "DZIKOWSKI",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "201-600-6817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, L.AC, ARNP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.