Puget Sound Christian Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60703570 Issued in WA

Legal business name

PUGET SOUND CHRISTIAN CLINIC

Practice address

3312 NE 123Rd St
Apt. C
Seattle, WA 98125-5691

Phone

(360) 201-0926

NPI assigned

Mar 1, 2017

Last updated

Mar 1, 2017By 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

Ms. Jubilee Pearl Mattix, NPNPI 1063945897

Title

Nurse Practitioner

Phone

(360) 201-0926

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jubilee Pearl Mattix, ARNP

  • Primary Care Nurse Practitioner
  • Seattle, WA
  • NPI 1063945897

  Family

  NPD (past) Authorized official

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1285174813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 NE 123RD ST",
            "address_2": "APT. C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 NE 123RD ST",
            "address_2": "APT. C",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981255691",
            "telephone_number": "360-201-0926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUGET SOUND CHRISTIAN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "MATTIX",
        "authorized_official_first_name": "JUBILEE",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-201-0926",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60703570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Puffin Pediatrics, PLLC
• Sydney Puga, PH.D.
• Puget Express LLC (Seattle Paratransit)
• Puget Sound Acupuncture
• Puget Sound Blood Center
• Puget Sound Expressive Arts Therapy, PLLC
• Puget Sound Eye Care
• Puget Sound Gastroenterology, PLLC (Fremont Endoscopy Center)
• Puget Sound Gastroenterology, PLLC (Seattle Gastroenterology Associates)
• Puget Sound Gastroenterology, PLLC (Seattle Endoscopy Center)

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, 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 Mar 1, 2017; 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.