Eric Michael Siljeg, SUDP, LPN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

70140219 Issued in WA

Practice address

20508 56TH Ave W
Lynnwood, WA 98036-7650

Phone

(425) 678-1390

NPI assigned

Jul 11, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Evergreen Recovery Centers-Health Services

  • Primary Care Nurse Practitioner
  • Lynwood, WA
  • NPI 1275297384
  NPD
• Evergreen Recovery Centers-Lynnwood Detox

  • Substance Abuse Rehabilitation Facility
  • Lynnwood, WA
  • NPI 1588184980
  NPD (past)

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1386481786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 111TH ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984441526",
            "telephone_number": "425-414-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20508 56TH AVE W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980367650",
            "telephone_number": "425-678-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILJEG",
        "first_name": "ERIC",
        "middle_name": "MICHAEL",
        "credential": "SUDP, LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-11",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP61571606",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "61224530",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "70140219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manrita Kaur Sidhu, M.D.
• Prabhjot S Sidhu, DDS
• Lisa M.B. Sieberson, DNP
• Christy Renee Siemons, M.A.
• Jason Alan Sifrit, O.D., F.A.A.O.
• Haddy Sillah
• Kirsten Ann Silva
• Valorie Silva
• Daniel Mark Silvermint, MA
• John J Sim, DC

• Registered Nurse in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; 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.