Organization Active NPI

Providence

  • General Acute Care Hospital
  • Seattle, WA
National Provider Identifier
1043610157
Registry record updated Aug 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
PH00016265 Issued in WA
Legal business name
PROVIDENCE
Practice address
4528 Purdue Avenue Northeast
Seattle, WA 98105
Phone
(206) 795-6237
NPI assigned
Aug 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2014

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

Authorized official

Name
Dr. Neris Palunas, PHARMD
Title
Pharmacist
Phone
(206) 795-6237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X PH00016265 WA Primary

Addresses

Primary practice location

4528 Purdue Avenue Northeast
Seattle, WA 98105

Mailing address

4528 Purdue Ave NE
Seattle, WA 98105-2142

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409011200000",
    "number": "1043610157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4528 PURDUE AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981052142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4528 PURDUE AVENUE NORTHEAST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-795-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A",
        "authorized_official_last_name": "PALUNAS",
        "authorized_official_first_name": "NERIS",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "206-795-6237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "PH00016265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.