The Charis Clinic PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

602904773 Issued in WA

Legal business name

THE CHARIS CLINIC PLLC

Practice address

23601 Highway 99 Ste a
Edmonds, WA 98026-9212

Phone

(206) 714-4476

Fax

(425) 732-4476

NPI assigned

Nov 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Deonne Jeanette Benedict, ARNPNPI 1356378186

Title

Managing Member, LLC

Phone

(206) 714-4476

Specialties & licenses 1

Addresses

Other names 1

• Charis Family Clinic Doing business as

Practitioners 1

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

• Deonne Jeanette Benedict, ARNP

  • Family Nurse Practitioner
  • Edmonds, WA
  • NPI 1356378186
  NPD Authorized official

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1194069187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23601 HIGHWAY 99 STE A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269212",
            "telephone_number": "206-714-4476",
            "fax_number": "425-732-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23601 HIGHWAY 99 STE A",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980269212",
            "telephone_number": "206-714-4476",
            "fax_number": "425-732-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CHARIS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "BENEDICT",
        "authorized_official_first_name": "DEONNE",
        "authorized_official_middle_name": "JEANETTE",
        "authorized_official_title_or_position": "MANAGING MEMBER, LLC",
        "authorized_official_telephone_number": "206-714-4476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "602904773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charis Family Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rupin Raj Thakkar, MD
• Julianne Thal, NAC
• Carrie Thayer, MA, LMFT
• The Awaken Center of Integrative Medicine NFP Foundation
• The Center for Counseling and Health Resources, Inc.
• The Compounding Apothecary
• The Speech Orchard, LLC
• The Washington Center for Pain Management Sleep Lab
• Michael Ashton Theobald, M.D.
• Katherine Therrell, LMT

• Primary Care Clinic/Center in Edmonds, WA
• Providers in Edmonds, 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 Nov 16, 2012; 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.