Organization Active NPI

Pmsi Pacific Mothers Support, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Bellevue, WA
National Provider Identifier
1154326890
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PMSI PACIFIC MOTHERS SUPPORT, INC.
Practice address
1407 132ND Ave NE
Ste 10
Bellevue, WA 98005-2259
Phone
(425) 462-0577
Fax
(425) 462-0432
NPI assigned
Jun 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Dorothy Adam NowikNPI 1326254491
Title
President
Phone
(425) 462-0577

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WA Primary

Addresses

Primary practice location

1407 132ND Ave NE
Ste 10
Bellevue, WA 98005-2259

Mailing address

1407 132ND Ave NE
Ste 10
Bellevue, WA 98005-2259
Phone (425) 462-0577

Other identifiers 1

IdentifierTypeStateIssuer
9036336MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170517002724 WA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 2769759042 Practice locations: Bellevue, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Pmsi Pacific Mothers Support Inc1407 132ND Ave NE, Bellevue, WA 98005-2259(425) 462-0577 Continuous Passive Motion (CPM) Devices|Negative Pressure Wound Therapy Pumps/Supplies|Neuromuscular Elect Stimulators (NMES)/Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walke… Accepts assignmentParticipating since Feb 27, 2017

National Provider Directory

National Provider Directory

Locations

1407 132nd Ave NE
Ste 10
Bellevue, WA 98005
Phone (425) 462-0577

1407 132nd Ave NE
Ste 9
Bellevue, WA 98005
Phone (425) 462-0577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154326890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 132ND AVE NE",
            "address_2": "STE 10",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052259",
            "telephone_number": "425-462-0577",
            "fax_number": "425-462-0432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 132ND AVE NE",
            "address_2": "STE 10",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052259",
            "telephone_number": "425-462-0577",
            "fax_number": "425-462-0432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMSI PACIFIC MOTHERS SUPPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWIK",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-462-0577",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9036336",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.