Watermark Pacific Regent, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

WATERMARK PACIFIC REGENT, LLC

Practice address

919 109TH Ave NE
Bellevue, WA 98004-4485

Phone

(425) 646-9808

NPI assigned

Dec 29, 2021

Organization subpart

No

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

Authorized official

Name

David Freshwater

Title

Authorized Official

Phone

(520) 797-4000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674086400000",
    "number": "1033879267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W RUDASILL RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857047800",
            "telephone_number": "520-392-7624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 109TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044485",
            "telephone_number": "425-646-9808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERMARK PACIFIC REGENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-29",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A",
        "authorized_official_last_name": "FRESHWATER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "520-797-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawna Watanabe
• Watemark Bellevue, LLC
• Brittney Waterhouse
• Eric T Waterman, MD
• Watermark Bellevue, LLC
• Sarah Elizabeth Waters, LSWAIC
• Sephora Watkins
• Kurstin Watland
• Charlotte Denise Watson-King
• James David Watson, M.D.

• Skilled Nursing Facility in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.