NPIMap

Organization Active NPI

Easter Seals Washington

  • Community/Behavioral Health Agency
  • Silverdale, WA
National Provider Identifier
1114388683
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CG60408933 Issued in WA
Legal business name
EASTER SEALS WASHINGTON
Practice address
3100 NW Bucklin Hill Rd
Suite 215
Silverdale, WA 98383-8358
Phone
(360) 337-2222
NPI assigned
Mar 11, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Jennifer Cleverdon
Title
Director
Phone
(360) 337-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CG60408933 WA Primary

Addresses

Primary practice location

3100 NW Bucklin Hill Rd
Suite 215
Silverdale, WA 98383-8358

Mailing address

3100 NW Bucklin Hill Rd
Suite 215
Silverdale, WA 98383-8358

Other identifiers 1

IdentifierTypeStateIssuer
CG60408933MedicaidWA

National Provider Directory

National Provider Directory
Tax ID family
Easter Seal Society5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1114388683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD",
            "address_2": "SUITE 215",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NW BUCKLIN HILL RD",
            "address_2": "SUITE 215",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838358",
            "telephone_number": "360-337-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-11",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "CLEVERDON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-337-2222"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WA",
            "license": "CG60408933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CG60408933",
            "state": "WA"
        }
    ],
    "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 Mar 11, 2016; 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.