Eide Neurolearning Clinic, Inc P.S.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

39835 Issued in WA

Legal business name

EIDE NEUROLEARNING CLINIC, INC P.S.

Practice address

6701 139TH PL SW
Edmonds, WA 98026-3223

Phone

(425) 742-2218

Fax

(425) 609-0050

NPI assigned

Apr 2, 2007

Organization subpart

No

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

Authorized official

Name

Fernette Fang Eide, M.D.NPI 1477628766

Title

Co-President

Phone

(425) 742-2218

Specialties & licenses 2

Addresses

Practitioners 2

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

• Fernette Fang Eide, M.D.

  • Neurology Physician
  • Edmonds, WA
  • NPI 1477628766
  NPD (past) Authorized official
• Brock Leonard Eide, M.D. M.A.

  • Internal Medicine Physician
  • Edmonds, WA
  • NPI 1528133816
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184745796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 139TH PL SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263223",
            "telephone_number": "425-742-2218",
            "fax_number": "425-609-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6701 139TH PL SW",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980263223",
            "telephone_number": "425-742-2218",
            "fax_number": "425-609-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EIDE NEUROLEARNING CLINIC, INC P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "EIDE",
        "authorized_official_first_name": "FERNETTE",
        "authorized_official_middle_name": "FANG",
        "authorized_official_title_or_position": "CO-PRESIDENT",
        "authorized_official_telephone_number": "425-742-2218",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "39835",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WA",
            "license": "39816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmonds-Woodway Chiropractic LLC
• Josephine Jessie Gidel Edmondson
• Bria J Effertz, M.S.W., MHP
• Anne W Egleston Gerich, FNP BC
• William Frederick Ehni, M.D.
• Brock Leonard Eide, M.D. M.A.
• Fernette Fang Eide, M.D.
• Mara Louise Eidsvoog, HIS
• Bailey Elizabeth Eley, NP
• Francxs P Elkins-Placide, PA-C

• Internal Medicine Physician in Edmonds, WA
• Providers in Edmonds, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.