City of Lynnwood

Primary specialty

Prison Health Clinic/CenterTaxonomy code 261QP2400X

Legal business name

CITY OF LYNNWOOD

Doing business as

Lynnwood Community Justice Center

Practice address

19321 44TH Ave W
Lynwood, WA 98036-5664

Phone

(425) 670-5648

Fax

(425) 771-0122

NPI assigned

Jan 15, 2009

Last updated

May 21, 2025By 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

Mr. Coleman Langdon

Title

Chief of Police

Phone

(425) 670-5601

Specialties & licenses 2

Addresses

Other names 1

• Lynnwood Community Justice Center Doing business as

Locations

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1265679013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19321 44TH AVE W",
            "city": "LYNWOOD",
            "state": "WA",
            "postal_code": "980365664",
            "telephone_number": "425-670-5648",
            "fax_number": "425-771-0122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19321 44TH AVE W",
            "city": "LYNWOOD",
            "state": "WA",
            "postal_code": "980365664",
            "telephone_number": "425-670-5648",
            "fax_number": "425-771-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LYNNWOOD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "COLEMAN",
        "authorized_official_title_or_position": "CHIEF OF POLICE",
        "authorized_official_telephone_number": "425-670-5601",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lynnwood Community Justice Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hanen Alyasiri
• Robin J Atkinson, DO
• Bembenek Travel Health Washington, PC (Passport Health)
• Benjamin Bloom
• Nicole Marie Conlon, PH.D.
• Amy May Derksen, N.D.
• Evergreen Recovery Centers-Health Services
• Hidayet Taha Karapinar, DC
• Karen S. Keeton, L.M.H.C.

• Prison Health Clinic/Center in Lynwood, WA
• Providers in Lynwood, WA by specialty
• Prison Health Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.