Individual provider Active NPI

Maire Zarif, PA-C

  • Physician Assistant
  • Kirkland, WA
National Provider Identifier
1376072082
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61353310 Issued in WA
Practice address
12675 120TH Ave NE Ste 193
Kirkland, WA 98034-5097
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020829 NY
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA61353310 WA Primary

Addresses

Primary practice location

12675 120TH Ave NE Ste 193
Kirkland, WA 98034-5097

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

30 Broad St Fl 45
New York, NY 10004-2942
Phone (888) 663-6331

Other names 1

  • Maire Shaughnessy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170821003083 NJ Practitioner - Physician Assistant 8224300587 Reassigns benefits to 3 organizations
I20250116001618 WA Practitioner - Physician Assistant 8224300587 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

12675 120TH Ave NE
Suite 193
Kirkland, WA 98034-5097
Phone (888) 663-6331

1600 7TH Ave
Suite 110
Seattle, WA 98101-2288
Phone (888) 663-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020829NYMDClinical Psychologist
PA61353310WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Friendly Urgent Care, LLC CurrentSince Aug 21, 2020 Accepting new patients
One Medical Group, Inc CurrentSince Mar 10, 2025 Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

1428 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 591-1350

12675 120th Ave NE
Ste 193
Kirkland, WA 98034

1600 7th Ave
Ste 110
Seattle, WA 98101
Phone (206) 267-4390

Interoperability endpoints

  • Direct secure messaging: mshaughnessy284192@direct.englewoodhealth.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1376072082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12675 120TH AVE NE STE 193",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345097",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Broad St Fl 45",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100042942",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZARIF",
        "first_name": "MAIRE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020829",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61353310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAIRE",
            "last_name": "SHAUGHNESSY",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.