DRX Wa Urgent Care Providers, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DRX WA URGENT CARE PROVIDERS, PLLC

Doing business as

Immediate Clinic

Practice address

4725 196TH St SW
Suite 105
Lynnwood, WA 98036-5518

Phone

(425) 640-5115

NPI assigned

Nov 29, 2012

Organization subpart

No

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

Authorized official

Name

Jeromy Sjolseth

Title

Director of Operations

Phone

(206) 706-9001

Specialties & licenses 5

Addresses

Other names 1

• Immediate Clinic Doing business as

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

{
    "created_epoch": "1354147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1295070324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 HOLMAN RD NW",
            "address_2": "SUITE A1",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981173418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4725 196TH ST SW",
            "address_2": "SUITE 105",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365518",
            "telephone_number": "425-640-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRX WA URGENT CARE PROVIDERS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-29",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "SJOLSETH",
        "authorized_official_first_name": "JEROMY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "206-706-9001"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Immediate Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chrystal Sapphire Dragonflame
• DRDC Corporation (NS Pain Clinic)
• Randall G Dreessen, DC CCSP
• Inna Dronova
• Sara Rene' Drury, LMP
• Susan Dumelin
• Ellie Madison Duran
• Eden Nicole Durborow
• Durocher Counseling Services PSC
• Rebecca J. Durocher, MSW, LICSW

• Family Medicine Physician in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.