Christina Sujin Theis, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60903574 Issued in WA

Practice address

3916 148TH St SE
Mill Creek, WA 98012

Phone

(425) 332-6948

Fax

(425) 304-1102

NPI assigned

Oct 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Christina Sujin Pak Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Optum Care Washington PLLC

  • Durable Medical Equipment & Medical Supplies
  • Mill Creek, WA
  • NPI 1164972527
  NPD (past)

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

{
    "created_epoch": "1539561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1205302478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-332-6948",
            "fax_number": "425-304-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 148TH ST SE",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "98012",
            "telephone_number": "425-332-6948",
            "fax_number": "425-304-1102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6616 183rd St SW",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980374274",
            "country_code": "US",
            "telephone_number": "503-332-2399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6616 183rd St SW",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980374274",
            "country_code": "US",
            "telephone_number": "503-332-2399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THEIS",
        "first_name": "CHRISTINA",
        "middle_name": "SUJIN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-15",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60903574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "PAK",
            "middle_name": "SUJIN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Tamarin, MD
• Michael Zhixu Tao, MD
• Hooria Tariq, MA, LMHCA
• Brianna Marie-McCall Taylor, LICSW
• The Mill Creek Dentist
• Therapeutic Resources, Inc.
• Kendra Rieger Thew, M.A., PH.D.
• Thomas F Helbert DDS Ms PS Inc
• Katelyn Thompson, LMP
• Thrifty Payless Inc

• Family Nurse Practitioner in Mill Creek, WA
• Providers in Mill Creek, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.