Interfaith Association of NW Wa

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INTERFAITH ASSOCIATION OF NW WA

Doing business as

Interfaith Family Shelter

Practice address

2520 Cedar St
Everett, WA 98201-3149

Phone

(425) 252-6672

NPI assigned

Aug 13, 2024

Last updated

Aug 13, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynsey Gagnon

Title

Executive Director

Phone

(425) 252-6672

Specialties & licenses 1

Addresses

Other names 1

• Interfaith Family Shelter Doing business as

Locations

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1225869829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12824",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982062824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 CEDAR ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013149",
            "telephone_number": "425-252-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERFAITH ASSOCIATION OF NW WA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "GAGNON",
        "authorized_official_first_name": "LYNSEY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-252-6672"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Interfaith Family Shelter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Case Management Agency in Everett, WA
• Providers in Everett, WA by specialty
• Case Management Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.