Active NPI
Sleep Diagnostics NW PLLC
- Pulmonary Disease Physician
- Arlington, WA
National Provider Identifier
1376308106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- Legal business name
- SLEEP DIAGNOSTICS NW PLLC
- Practice address
- 16410 Smokey Point Blvd Ste 106
Arlington, WA 98223-7079 - Phone
- (619) 405-3219
- NPI assigned
- Feb 20, 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
- Jemma Bockenkamp
- Title
- Manager
- Phone
- (360) 631-4437
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | Primary | ||
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X |
Addresses
Primary practice location
16410 Smokey Point Blvd Ste 106
Arlington, WA 98223-7079
Mailing address
16410 Smokey Point Blvd Ste 106
Arlington, WA 98223-7079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
16410 Smokey Point Blvd
Ste 106
Arlington, WA 98223
Phone (360) 547-7586
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1376308106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16410 SMOKEY POINT BLVD STE 106",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982237079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16410 SMOKEY POINT BLVD STE 106",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982237079",
"telephone_number": "619-405-3219"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SLEEP DIAGNOSTICS NW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-20",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "BOCKENKAMP",
"authorized_official_first_name": "JEMMA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "360-631-4437"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RS0012X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Sleep Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, WA
- Thomas Silberberger, M.S., A.T.C.
- Ranjita Singh Lal
- Brittney Sito, RDN
- Skagit Valley Medical Center Dba Cascade Family Medical Group
- Todd C. Skiles, D.P.M.
- Edmund Harry Smith, SUDP
- Justin Richard Smith, D.D.S.
- Smokey Point Family Dentistry, PLLC (Smokey Point Family Dentistry)
- Smokey Point Massage
- Wayne Smothers, DVM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.