City of Bothell

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

17M04 Issued in WA

Legal business name

CITY OF BOTHELL

Practice address

10726 Beardslee Blvd
Bothell, WA 98011-3250

Phone

(425) 486-1678

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Cathleen Laurel Farrell

Title

Admin. Services MGR.

Phone

(425) 806-6242

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bothell Fire Department Other name

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1184715476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10726 BEARDSLEE BLVD",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113250",
            "telephone_number": "425-486-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BOTHELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_middle_name": "LAUREL",
        "authorized_official_title_or_position": "ADMIN. SERVICES MGR.",
        "authorized_official_telephone_number": "425-806-6242"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "17M04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9054255",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bothell Fire Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Russell John Christensen, DDS
• Alicia Nicole Christian
• Christine Lentz DDS and Lisa Egbert DDS PS
• Julidang K Chue, DDS
• Leslie Cisneros
• James Daniel Clark, DNP, APRN, FNP-BC
• Thomas J Clark, LMT
• Roxanne Clemence, LMP, LMT
• Kathleen Patricia Clutter, M.A.
• Alice J Coad, ARNP

• Land Ambulance in Bothell, WA
• Providers in Bothell, WA by specialty
• Land Ambulance in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.