CP Snohomish County Wa, LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

CP SNOHOMISH COUNTY WA, LLC

Doing business as

Providence at Home with Compassus Palliative Care, Snohomish County

Practice address

1615 75TH St SW Ste 210
Everett, WA 98203-6293

Phone

(425) 261-4800

NPI assigned

Mar 28, 2025

Organization subpart

No

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

Authorized official

Name

Russell Adkins

Title

SVP, Chief Legal Officer

Phone

(615) 926-0340

Specialties & licenses 1

Addresses

Other names 1

• Providence at Home with Compassus Palliative Care, Snohomish County Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

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

• CP Snohomish County Wa, LLC

  dba Providence at Home with Compassus Home Health, Snohomish County

  • Community Based Hospice Care Agency
  • Everett, WA
  • NPI 1184446221

  O20250701002595

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly K Liekweg, MD

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1477909901
  NPD

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

{
    "created_epoch": "1743120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1346043254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CADILLAC DR STE 400",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271001",
            "telephone_number": "615-637-9163",
            "fax_number": "615-373-4457"
        },
        {
            "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": "425-261-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP SNOHOMISH COUNTY WA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-28",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "ADKINS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "SVP, CHIEF LEGAL OFFICER",
        "authorized_official_telephone_number": "615-926-0340"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence at Home with Compassus Palliative Care, Snohomish County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Cox, MD
• Leann Cox
• Keely Coxon, MD
• Briana Coyne, PHARMD
• CP Snohomish County Wa, LLC (Providence at Home with Compassus Home Health, Snohomish County)
• CP Snohomish County Wa, LLC (Providence at Home with Compassus Hospice Care, Snohomish County)
• Craig Pearce DMD PLLC
• Tiffany Marie Crain
• Tonja Marie Cram, CO 60537894
• John F Cramer, MD

• Hospice and Palliative Medicine (Internal Medicine) Physician in Everett, WA
• Providers in Everett, WA by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.