Primary Care Redmond, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP30004449 Issued in WA

Legal business name

PRIMARY CARE REDMOND, PLLC

Practice address

8301 161St Ave NE
Suite 100
Redmond, WA 98052-3858

Phone

(425) 895-8600

NPI assigned

Dec 8, 2011

Organization subpart

No

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

Authorized official

Name

Linda Ann Van Hoff, ARNP

Title

Owner

Phone

(425) 895-8600

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 1

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.

• Kaylee Petersen, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Diego, CA
  • NPI 1003152364
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1154699924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE",
            "address_2": "SUITE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-895-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 161ST AVE NE",
            "address_2": "SUITE 100",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523858",
            "telephone_number": "425-895-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE REDMOND, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "VAN HOFF",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-895-8600",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP30004449",
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP30001935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497737316",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1588676001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MEDICARE NUMBER",
            "identifier": "AB17259",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA MEDICARE NUMBER",
            "identifier": "8850455",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Praka Sahi DDS PS (Bel Red Dentists)
• Premier Therapeutic Experience
• Premise Health of Ohio Medical, P.a (LIving Well Health Center)
• Shannon Anneke Price, LMFT
• Lourdes Prieto
• Primavita Family Medicine
• Ashley Prince, MA
• Jessica Lauren Prince, APRN
• Mary Lisa Prince, MSPT
• Proliance Surgeons Inc P S (Proliance Orthopaedics and Sports Medicine)

• Primary Care Clinic/Center in Redmond, WA
• Providers in Redmond, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.