Active NPI
Vicki Hofmann
- Case Manager/Care Coordinator
- Everett, WA
National Provider Identifier
1083933394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- CG60151301
- Practice address
- 5801 23Rd Dr W Ste 104
Everett, WA 98203-1584 - Phone
- (425) 513-8213
- Fax
- (425) 513-0534
- NPI assigned
- May 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | CG60151301 | WA | Primary |
Addresses
Primary practice location
5801 23Rd Dr W Ste 104
Everett, WA 98203-1584
Mailing address
5801 23Rd Dr W Ste 104
Everett, WA 98203-1584
Phone (425) 513-8213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CG60151301 | WA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1083933394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5801 23RD DR W STE 104",
"city": "EVERETT",
"state": "WA",
"postal_code": "982031584",
"telephone_number": "425-513-8213",
"fax_number": "425-513-0534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5801 23RD DR W STE 104",
"city": "EVERETT",
"state": "WA",
"postal_code": "982031584",
"telephone_number": "425-513-8213",
"fax_number": "425-513-0534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFMANN",
"first_name": "VICKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-26",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "WA",
"license": "CG60151301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.