Neighborcare Health

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

NEIGHBORCARE HEALTH

Doing business as

Neighborcare Health at 45th Street

Practice address

1629 N 45TH St
Seattle, WA 98103-6701

Phone

(206) 633-3350

Fax

(206) 633-3113

NPI assigned

Jul 4, 2006

Last updated

Sep 10, 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

Charisse Marshall

Title

Director of Revenue Cycle

Phone

(206) 548-3102

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Neighborcare Health at 45th Street Doing business as

Medicare fee-for-service enrollment

Enrolled in WA2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285664227. Details of each certification follow.

• CCN 501804 Federally qualified health center · Active · Details

Federally qualified health center certification: CCN 501804

Legal name

NEIGHBORCARE HEALTH

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jan 1, 1992

Last certification

Jan 1, 1992

Ownership / control type

For profit – partnership

Most recent change of ownership

Jan 1, 2001 (1 total)

Organization structure

CorporationNon-profit

Incorporated

Aug 12, 1969 in WA

Enrollment address

1629N 45TH St
Seattle, WA 98103-6701

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Neighborcare Health

  dba Neighborcare Health at Denny International Middle School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1003975095

  0143134205

  Same PAC ID
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1073030508

  0143134205

  Same PAC ID
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1144629908

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at West Seattle Elementary

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1184057150

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at Dearborn Park Internation School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1225461908

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at Robert Eagle Staff Middle School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1265086417

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at Lincoln High School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275187429

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at Rainier Beach

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275567539

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at Ballard

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275808214

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at Meridian

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1326443383

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at Pike Place Market

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1356371215

  0143134205

  Same PAC ID
• Neighborcare Health

  dba Neighborcare Health at Vashon Island High School

  • Federally Qualified Health Center (FQHC)
  • Vashon, WA
  • NPI 1366969263

  0143134205

  Same PAC ID

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1073030508

  O20040128000573

  Same enrollment
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1144629908

  O20040128000573

  Same enrollment
• Neighborcare Health

  dba Neighborcare Health at Rainier Beach

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275567539

  O20040128000573

  Same enrollment
• Neighborcare Health

  dba Neighborcare Health at Ballard

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1275808214

  O20040128000573

  Same enrollment
• Neighborcare Health

  dba Neighborcare Health at Meridian

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1326443383

  O20040128000573

  Same enrollment
• Neighborcare Health

  dba Neighborcare Health at Pike Place Market

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1356371215

  O20040128000573

  Same enrollment
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Vashon, WA
  • NPI 1437603099

  O20040128000573

  Same enrollment
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1518985621

  O20040128000573

  Same enrollment
• Neighborcare Health

  dba Neighborcare Health at Simons Senior Apartments

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1578028866

  O20040128000573

  Same enrollment
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1578593562

  O20040128000573

  Same enrollment
• Neighborcare Health

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1639493216

  O20040128000573

  Same enrollment
• Neighborcare Health

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1679891402

  O20040128000573

  Same enrollment

Locations

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Neighborcare Health

  dba Neighborcare Health at Denny International Middle School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1003975095

  Operational/Managerial Control

  CMS ownership
• Neighborcare Health

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1073030508

  Operational/Managerial Control

  CMS ownership
• Neighborcare Health

  dba Neighborcare Health at Dearborn Park Internation School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1225461908

  Operational/Managerial Control

  CMS ownership
• Neighborcare Health

  dba Neighborcare Health at Vashon Island High School

  • Federally Qualified Health Center (FQHC)
  • Vashon, WA
  • NPI 1366969263

  Operational/Managerial Control

  CMS ownership
• Neighborcare Health

  dba Neighborcare Health at Chief Sealth International High School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1730248642

  Operational/Managerial Control

  CMS ownership
• Neighborcare Health

  dba Neighborcare Health at West Seattle High School

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1770642696

  Operational/Managerial Control

  CMS ownership
• Neighborcare Health

  dba Neighborcare Health at Magnuson

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1881254449

  Operational/Managerial Control

  CMS ownership

Practitioners 54

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.

• Arsema Andmicael

  • Physician Assistant
  • Seattle, WA
  • NPI 1427776897
  NPD
• Carissa C. Cross, ARNP

  • Nurse Practitioner
  • Seattle, WA
  • NPI 1962510248
  NPD
• Sandrine Ducos, PA-C

  • Physician Assistant
  • Seattle, WA
  • NPI 1518077841
  NPD
• Anne W Egleston Gerich, FNP BC

  • Family Nurse Practitioner
  • Edmonds, WA
  • NPI 1316282411
  NPD
• Erik D Geissal, MD

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1982895819
  NPD
• Stephanie Gove-Yin, MD

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1982014007
  NPD
• Johann Mary Gurnell, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1659602175
  NPD
• Amanda Heffernan, CNM

  • Advanced Practice Midwife
  • Seattle, WA
  • NPI 1154742609
  NPD
• Jennifer L Hoock, MD

  • Family Medicine Physician
  • Renton, WA
  • NPI 1912054859
  NPD
• Kathryn Claire Kane, CNM

  • Advanced Practice Midwife
  • Seattle, WA
  • NPI 1487376703
  NPD
• Jeffrey Kendall, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Kent, WA
  • NPI 1669997284
  NPD
• Ajay Koti

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1033640982
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1285664227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 12TH AVE S STE 901",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442712",
            "telephone_number": "206-548-3114",
            "fax_number": "206-962-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 N 45TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981036701",
            "telephone_number": "206-633-3350",
            "fax_number": "206-633-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORCARE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "206-548-3102"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "50D0631474",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1006785",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7115967",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborcare Health at 45th Street",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Neighborcare Health (Neighborcare Health Community Based Nursing)
• Neighborcare Health (Neighborcare Health at Robert Eagle Staff Middle School)
• Neighborcare Health (Neighborcare Health at Lincoln High School)
• Neighborcare Health (Neighborcare Health at Rainier Beach)
• Neighborcare Health (Neighborcare Health at Ballard)
• Neighborcare Health (West Seattle teen Health Center Dental)
• Neighborcare Health (Neighborcare Health at Georgetown)
• Neighborcare Health (Meridian Center for Health Pharmacy)
• Neighborcare Health (Neighborcare Health at Meridian)
• Neighborcare Health

• Federally Qualified Health Center (FQHC) in Seattle, WA
• Providers in Seattle, WA by specialty
• Federally Qualified Health Center (FQHC) in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.