Active NPI
Henry Charles Semple Jr., LPN
- Licensed Practical Nurse
- Everett, WA
National Provider Identifier
1093313967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP00042960
- Practice address
- 9930 Evergreen Way Ste Z150
Everett, WA 98204-3889 - Phone
- (425) 347-5121
- NPI assigned
- Oct 13, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP00042960 | WA | Primary |
Addresses
Primary practice location
9930 Evergreen Way Ste Z150
Everett, WA 98204-3889
Mailing address
800 96TH Ave NE Unit D202
Lake Stevens, WA 98258-7904
Phone (425) 750-9089
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 |
|---|---|---|---|
| LP00042960 | WA | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Health Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Shoreline, WA
- NPI 1144312877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1093313967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 96TH AVE NE UNIT D202",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982587904",
"telephone_number": "425-750-9089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9930 EVERGREEN WAY STE Z150",
"city": "EVERETT",
"state": "WA",
"postal_code": "982043889",
"telephone_number": "425-347-5121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEMPLE",
"first_name": "HENRY",
"middle_name": "CHARLES",
"name_suffix": "Jr.",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-13",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP00042960",
"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 Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.