Organization Active NPI

Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
National Provider Identifier
1073030508
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
NEIGHBORCARE HEALTH
Practice address
509 3Rd Ave
Seattle, WA 98104-3282
Phone
(206) 464-1570
Fax
(206) 728-2521
NPI assigned
Aug 25, 2017
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
Charisse Marshall
Title
Director of Revenue Cycle
Phone
(206) 548-3102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

509 3Rd Ave
Seattle, WA 98104-3282

Mailing address

1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114

Other identifiers 1

IdentifierTypeStateIssuer
2147364MedicaidWA

Other names 1

  • Neighborcare Health at the Morrison Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000573 WA Part B Supplier - Clinic/Group Practice 0143134205 Receives reassigned benefits from 317 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA; Vashon, WA
O20190301001405 WA Part A Provider - Federally Qualified Health Center (FQHC) 0143134205 Practice locations: Seattle, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073030508. Details of each certification follow.

Federally qualified health center certification: CCN 941045

Legal name
NEIGHBORCARE HEALTH
Doing business as
NEIGHBORCARE HEALTH AT THE MORRISON
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 1, 2019
Last certification
Mar 1, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 12, 1969 in WA
Enrollment address
509 3Rd Ave
Seattle, WA 98104

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory

Locations

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

Ownership & related parties

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Neighborcare Health Organization, Seattle, WA Non-profit Operational/Managerial Control Aug 12, 1969 100%
Jennifer R Bell Individual Corporate DirectorBRD MBR Jan 17, 2017
Rashad C Collins Individual Corporate OfficerCeo Jul 1, 2022 100%
John R. Greenlee Individual Corporate DirectorBRD MBR Jan 17, 2017
Nwando Anyaoku Individual Corporate DirectorBRD MBR Jan 17, 2017
Salil Gupte Individual Corporate DirectorBRD MBR Jan 17, 2017
John F. Jenkel Individual Corporate DirectorBRD MBR Aug 30, 2017
Nancy I Douty Individual Corporate DirectorBRD MBR Jan 17, 2017
Richard D Rubin Individual Corporate DirectorBRD MBR Jan 17, 2017
Romulus D Lee Individual Corporate DirectorBRD MBR Jan 17, 2017
Barbara Shickich Individual Corporate DirectorBRD MBR Jan 17, 2017
Rose Feliciano Individual Corporate Director Jun 28, 2017
Joyce Williams Individual Corporate DirectorBRD MBR Oct 25, 2017
Joyce K Lammert Individual Corporate DirectorBRD MBR Jan 17, 2017
Charisse Marshall Individual Operational/Managerial ControlDirector of Billing Operations Jan 17, 2017
Sarah Chesemore Individual Corporate DirectorBRD MBR Jan 17, 2017
Janine L Childs Individual Corporate OfficerCao Jan 17, 2017

Owners & managing parties with NPI records 21

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 21

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Neighborcare HealthSeattle, WA, CCN 501957 Federally qualified health center Operational/Managerial Control (100%) Nov 26, 2013
Neighborcare HealthSeattle, WA, CCN 501956 Federally qualified health center Operational/Managerial Control (100%) Nov 25, 2013
Neighborcare Health at Denny International Middle SchoolSeattle, WA, CCN 501959 Federally qualified health center Operational/Managerial Control (100%) Jan 1, 2015
Neighborcare Health at Dearborn Park International SchoolSeattle, WA, CCN 501966 Federally qualified health center Operational/Managerial Control (100%) Apr 7, 2014
Neighbor Care Health at Vashon Island High SchoolVashon, WA, CCN 941038 Federally qualified health center Operational/Managerial Control (100%) Aug 12, 1969
Neighborcare Health at MagnusonSeattle, WA, CCN 941055 Federally qualified health center Operational/Managerial Control (100%) May 31, 2019

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 6

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1073030508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3114",
            "fax_number": "206-962-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 3RD AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043282",
            "telephone_number": "206-464-1570",
            "fax_number": "206-728-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORCARE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "206-548-3102"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147364",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborcare Health at the Morrison",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.