Active NPI
Alix Champin Thorson, M.D.
- Emergency Medicine Physician
- Lynnwood, WA
National Provider Identifier
1295840890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00039486
- Practice address
- 4320 196TH St SW
Lynnwood, WA 98036-6773 - Phone
- (425) 774-8758
- Fax
- (425) 672-8944
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00039486 | WA | Primary |
Addresses
Primary practice location
4320 196TH St SW
Lynnwood, WA 98036-6773
Mailing address
2930 Maple St
Everett Med Ctr
Everett, WA 98201-3832
Phone (425) 261-1509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00039486 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| U.S. Healthworks Medical Group of Washington, PS | Past | Accepting new patients | |
| North Sound Emergency Medicine PC | Emergency Medicine | Past | Accepting new patients |
Locations
2930 Maple St
Everett, WA 98201
Phone (425) 261-1500
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- athorson156572@ghc.direct-ci.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
- Emergency Medicine Physician
- Everett, WA
- NPI 1114937919
-
- Urgent Care Clinic/Center
- Valencia, CA
- NPI 1407836208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440633600000",
"number": "1295840890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 MAPLE ST",
"address_2": "EVERETT MED CTR",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013832",
"telephone_number": "425-261-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 196TH ST SW",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366773",
"telephone_number": "425-774-8758",
"fax_number": "425-672-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORSON",
"first_name": "ALIX",
"middle_name": "CHAMPIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2015-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00039486",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.