Active NPI
Providence Health & Services-Washington
- Home Health Registered Nurse
- Everett, WA
National Provider Identifier
1306694732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- Legal business name
- PROVIDENCE HEALTH & SERVICES-WASHINGTON
- Practice address
- 1615 75TH St SW Ste 210
Everett, WA 98203-6293 - Phone
- (425) 261-4780
- Fax
- (425) 261-4720
- NPI assigned
- May 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nadine Pierre, PT
- Title
- Director
- Phone
- (425) 261-4780
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | Primary |
Addresses
Primary practice location
1615 75TH St SW Ste 210
Everett, WA 98203-6293
Mailing address
1801 Lind Ave SW
Renton, WA 98057-3368
Phone (425) 261-4780
National Provider Directory
National Provider DirectoryLocations
1615 75th St SW
Ste 210
Everett, WA 98203
Phone (425) 261-4780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715212800000",
"number": "1306694732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 LIND AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980573368",
"telephone_number": "425-261-4780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 75TH ST SW STE 210",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036293",
"telephone_number": "425-261-4780",
"fax_number": "425-261-4720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROVIDENCE HEALTH & SERVICES-WASHINGTON",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2024-05-09",
"certification_date": "2024-05-09",
"status": "A",
"authorized_official_last_name": "PIERRE",
"authorized_official_first_name": "NADINE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "425-261-4780",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
- Providence Health & Services-Wa
- Providence Health & Services-Wa (Providence Everett Medical Labs)
- Providence Health & Services-Wa (Providence Physician Group- Neurosurgery and Spine Clinic)
- Providence Health & Services-Wa
- Providence Health & Services-Washington (PMG NW WA Cardiovascular and Thoracic Surgery)
- Providence Health & Services-Washington (PMG NW WA Cardiology)
- Providence Health & Services-Washington (Providence Surgery Center, Pacific Campus)
- Providence Health & Services-Washington (PMG NW WA MC Internal Medicine)
- Providence Hospice and Home Care of Snohomish County
- Providence Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.