Active NPI
Neighborcare Health
- Federally Qualified Health Center (FQHC)
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- NEIGHBORCARE HEALTH
- Practice address
- 13555 Aurora Ave N
Seattle, WA 98133-7511 - Phone
- (206) 548-7600
- Fax
- (206) 548-7601
- NPI assigned
- Aug 18, 2014
- Last updated
- Jan 12, 2018
- 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
- Michael Erikson
- Title
- Ceo
- Phone
- (206) 461-6935
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary |
Addresses
Primary practice location
13555 Aurora Ave N
Seattle, WA 98133-7511
Mailing address
1200 12TH Ave S Ste 901
Seattle, WA 98144-2712
Phone (206) 548-3114
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
| O20150108001697 | 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 1144629908. Details of each certification follow.
Federally qualified health center certification: CCN 501987
- Legal name
- NEIGHBORCARE HEALTH
- Certification status
- Active
- Provider type (POS)
- Federally qualified health center
- Participating since
- Nov 19, 2014
- Last certification
- Nov 19, 2014
- Ownership / control type
- For profit – corporation
- Organization structure
- Corporation
- Incorporated
- Aug 12, 1969 in WA
- Enrollment address
- 13555 Aurora Ave N
Seattle, WA 98133-7511
Other NPIs with the same Medicare PAC ID 21
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Neighborcare Health at Denny International Middle School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1003975095
0143134205
-
dba Neighborcare Health at West Seattle Elementary
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1184057150
0143134205
-
dba Neighborcare Health at Dearborn Park Internation School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1225461908
0143134205
-
dba Neighborcare Health at Robert Eagle Staff Middle School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1265086417
0143134205
-
dba Neighborcare Health at Lincoln High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
0143134205
-
dba Neighborcare Health at Rainier Beach
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
0143134205
-
dba Neighborcare Health at Ballard
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275808214
0143134205
-
dba Neighborcare Health at 45th Street
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1285664227
0143134205
-
dba Neighborcare Health at Meridian
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1326443383
0143134205
-
dba Neighborcare Health at Pike Place Market
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1356371215
0143134205
-
dba Neighborcare Health at Vashon Island High School
- Federally Qualified Health Center (FQHC)
- Vashon, WA
- NPI 1366969263
0143134205
Other NPIs on the same Medicare enrollment 15
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1073030508
O20040128000573
-
dba Neighborcare Health at Rainier Beach
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
O20040128000573
-
dba Neighborcare Health at Ballard
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275808214
O20040128000573
-
dba Neighborcare Health at 45th Street
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1285664227
O20040128000573
-
dba Neighborcare Health at Meridian
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1326443383
O20040128000573
-
dba Neighborcare Health at Pike Place Market
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1356371215
O20040128000573
-
- Federally Qualified Health Center (FQHC)
- Vashon, WA
- NPI 1437603099
O20040128000573
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1518985621
O20040128000573
-
dba Neighborcare Health at Simons Senior Apartments
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578028866
O20040128000573
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
O20040128000573
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 18
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Jennifer R Bell | Corporate Director | Jan 1, 2012 | |
| John R. Greenlee | Corporate Director | Jan 1, 1987 | |
| Holly S Ferraro | Corporate Director | Jan 1, 2012 | |
| Nancy I Douty | Corporate Director | Jan 1, 2005 | |
| Richard D Rubin | Corporate Director | Jan 1, 1988 | |
| Romulus D Lee | Corporate Director | Jan 1, 2010 | |
| Mark Secord | Corporate Officer | Dec 1, 1996 | |
| Operational/Managerial Control | Dec 1, 1996 | ||
| Barbara Shickich | Corporate Director | Jan 1, 2012 | |
| Fariba Etemadi-Nejad Alamdari | Corporate Director | Jan 1, 2009 | |
| Anthony Bozzuti | Corporate Director | Jan 1, 2009 | |
| Andrea Dahl | Corporate Director | Jan 1, 2001 | |
| Tamiko Miyano | Corporate Director | Jan 1, 2010 | |
| George E Parker | Corporate Director | Jan 1, 2001 | |
| Joyce K Lammert | Corporate Director | Jan 1, 2006 | |
| Charisse Marshall | W-2 Managing Employee | Nov 15, 2010 | |
| Allison B Rhoades | Corporate Director | Jan 1, 2011 | |
| Evelyn Picketts | Corporate Director | Jan 1, 2012 | |
| Janine L Childs | Corporate Officer | Jan 16, 2010 |
All facility ownership & control disclosures 7
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Neighborcare Health | Federally qualified health center | Operational/Managerial Control (100%) | Nov 26, 2013 |
| Neighborcare Health | Federally qualified health center | Operational/Managerial Control (100%) | Nov 25, 2013 |
| Neighborcare Health at Denny International Middle School | Federally qualified health center | Operational/Managerial Control (100%) | Jan 1, 2015 |
| Neighborcare Health at Dearborn Park International School | Federally qualified health center | Operational/Managerial Control (100%) | Apr 7, 2014 |
| Neighbor Care Health at Vashon Island High School | Federally qualified health center | Operational/Managerial Control (100%) | Aug 12, 1969 |
| Neighborcare Health at the Morrison | Federally qualified health center | Operational/Managerial Control (100%) | Aug 12, 1969 |
| Neighborcare Health at Magnuson | Federally qualified health center | Operational/Managerial Control (100%) | May 31, 2019 |
Owned or controlled facilities with NPI records 7
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Neighborcare Health at Denny International Middle School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1003975095
Operational/Managerial Control
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1073030508
Operational/Managerial Control
-
dba Neighborcare Health at Dearborn Park Internation School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1225461908
Operational/Managerial Control
-
dba Neighborcare Health at Vashon Island High School
- Federally Qualified Health Center (FQHC)
- Vashon, WA
- NPI 1366969263
Operational/Managerial Control
-
dba Neighborcare Health at Chief Sealth International High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1730248642
Operational/Managerial Control
-
dba Neighborcare Health at West Seattle High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1770642696
Operational/Managerial Control
-
dba Neighborcare Health at Magnuson
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1881254449
Operational/Managerial Control
Practitioners & affiliated clinicians
Practitioners 32
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.
-
- Family Nurse Practitioner
- Vancouver, WA
- NPI 1124503313
-
- Clinical Psychologist
- Seattle, WA
- NPI 1346694890
-
- Pediatric Nurse Practitioner
- Seattle, WA
- NPI 1417242892
-
- Advanced Practice Midwife
- Seattle, WA
- NPI 1558701532
-
- Family Nurse Practitioner
- Seattle, WA
- NPI 1134655160
-
- Physician Assistant
- Seattle, WA
- NPI 1326593617
-
- Family Medicine Physician
- Vashon, WA
- NPI 1205891637
-
- Mental Health Counselor
- Seattle, WA
- NPI 1346532652
-
- Advanced Practice Midwife
- Seattle, WA
- NPI 1154742609
-
- Advanced Practice Midwife
- Bellingham, WA
- NPI 1629308887
-
- Physician Assistant
- Seattle, WA
- NPI 1467881920
-
- Advanced Practice Midwife
- Seattle, WA
- NPI 1740806470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1515715200000",
"number": "1144629908",
"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": "206-762-6355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13555 AURORA AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981337511",
"telephone_number": "206-548-7600",
"fax_number": "206-548-7601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEIGHBORCARE HEALTH",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-18",
"last_updated": "2018-01-12",
"status": "A",
"authorized_official_last_name": "ERIKSON",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "206-461-6935"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
- Neighborcare Health
- Neighborcare Health (Neighborcare Health at Mercer Middle School)
- Neighborcare Health (Neighborcare Health - School Based Dental)
- Neighborcare Health (Neighborcare Health at Central District)
- Neighborcare Health (Neighborcare Health at Meridian Dental)
- Neighborcare Health (Neighborcare Health at West Seattle Elementary)
- Neighborcare Health (Neighborcare Health at High Point Dental)
- Neighborcare Health (Neighborcare Health at Dearborn Park Internation School)
- Neighborcare Health (Neighborcare Health at Navos Burien Campus)
- Neighborcare Health (Beacon Hill International School)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.