Active NPI
Darien Jourdaine, DO
- Family Medicine Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 70566
- Practice address
- 8609 Evergreen Way
Everett, WA 98208-2619 - Phone
- (425) 789-3700
- NPI assigned
- Apr 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OP61614006 | WA | |
| Family Medicine Physician | 207Q00000X | 70566 | MN | Primary |
Addresses
Primary practice location
8609 Evergreen Way
Everett, WA 98208-2619
Mailing address
1354 Saint Clair Ave
Saint Paul, MN 55105-2335
Phone (414) 477-7815
Other practice location 1
2426 W Broadway Ave
Minneapolis, MN 55411-1735
Phone (612) 302-8200
Other practice location 2
1430 Highway 96 E
White Bear Lake, MN 55110-3653
Phone (651) 653-2100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1430 Hwy 96 E
White Bear Lake, MN 55110-3653
Phone (651) 426-1980
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Group Health, Inc. | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Family Medicine | Current | Accepting new patients |
| Group Health, Inc. | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Group Health, Inc. | Current | Accepting new patients |
Locations
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
1430 Highway 96 E
White Bear Lake, MN 55110
Phone (651) 426-9502
1424 Broadway
Everett, WA 98201
Phone (425) 551-1000
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1710924683
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
-
- Pain Clinic/Center
- Anoka, MN
- NPI 1689068462
-
- General Practice Dentistry
- Saint Paul, MN
- NPI 1952042053
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728604800000",
"number": "1154941300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1354 SAINT CLAIR AVE",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551052335",
"telephone_number": "414-477-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8609 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982082619",
"telephone_number": "425-789-3700"
}
],
"practiceLocations": [
{
"address_1": "2426 W Broadway Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554111735",
"country_code": "US",
"telephone_number": "612-302-8200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1430 Highway 96 E",
"address_purpose": "LOCATION",
"city": "White Bear Lake",
"state": "MN",
"postal_code": "551103653",
"country_code": "US",
"telephone_number": "651-653-2100",
"fax_number": "651-653-2125",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOURDAINE",
"first_name": "DARIEN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-17",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61614006",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "70566",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
- Joseph M Molina MD Professional Corporation-Southern California
- Joseph M Molina MD Professional Corporation-Southern California
- Joseph Madson DMD PLLC
- Heena Narayan Joshi, MD
- Shilpa Joshi, DDS
- Brigette Ann Journeay, MSW
- Journey Bound Counseling LLC
- Journey Health at Home
- Journey Nursing Services L.L.C.
- Florence Jovero, FNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.