Sisters of Providence in Washington

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

77 Issued in WA

Legal business name

SISTERS OF PROVIDENCE IN WASHINGTON

Practice address

4831 35TH Ave SW
Seattle, WA 98126-2709

Phone

(206) 937-3700

Fax

(206) 938-8999

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Donald Wayne Anderson Jr.

Title

Assistant Secretary Enrollment

Phone

(425) 358-9786

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PROVIDENCE MOUNT SAINT VINCENT Doing business as

Tax ID family

Providence Health Services Washington2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Providence Health & Services Washington

  • Skilled Nursing Facility
  • Seattle, WA
  • NPI 1952386369
  NPD tax ID

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1366634503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4831 35TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262709",
            "telephone_number": "206-937-3700",
            "fax_number": "206-938-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4831 35TH AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262709",
            "telephone_number": "206-937-3700",
            "fax_number": "206-938-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERS OF PROVIDENCE IN WASHINGTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY ENROLLMENT",
        "authorized_official_telephone_number": "425-358-9786",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "WA",
            "license": "77",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9042979",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PROVIDENCE MOUNT SAINT VINCENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Ann Siska, OTR/L
• Michael D Sisler
• Ayrron Sisley, PHARMD
• Kathryn Sisson, EAMP
• Nathaniel Bergeron Sisson, MD
• Sisu Sports Physical Therapy, PLLC
• Samantha Sites
• David Ravi Sitlani, MA
• Shelly Kaye Sitler-Metallo, RN, IBCLC
• Barbara J Sitsch, NP

• Adult Day Care Clinic/Center in Seattle, WA
• Providers in Seattle, WA by specialty
• Adult Day Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; 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.