Active NPI
Scandia Creek Collective LLC
- Primary Care Clinic/Center
- Silverdale, WA
National Provider Identifier
1063344786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- SCANDIA CREEK COLLECTIVE LLC
- Practice address
- 3343 NW Byron St
Silverdale, WA 98383-9123 - Phone
- (602) 826-0339
- NPI assigned
- May 29, 2026
- 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
- Jami Mock, ARNP
- Title
- Arnp/Owner
- Phone
- (602) 826-0339
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3343 NW Byron St
Silverdale, WA 98383-9123
Mailing address
3343 NW Byron St
Silverdale, WA 98383-9123
National Provider Directory
National Provider DirectoryLocations
3343 NW Byron St
Silverdale, WA 98383
Phone (360) 692-8920
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Poulsbo, WA
- NPI 1144896390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780012800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1780012800000",
"number": "1063344786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3343 NW BYRON ST",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3343 NW BYRON ST",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983839123",
"telephone_number": "602-826-0339"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCANDIA CREEK COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-29",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A",
"authorized_official_last_name": "MOCK",
"authorized_official_first_name": "JAMI",
"authorized_official_title_or_position": "ARNP/OWNER",
"authorized_official_telephone_number": "602-826-0339",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.