Organization Active NPI

Olympic Clinical Services, Inc.

  • Adult Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1417064643
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP30001778 Issued in WA
Legal business name
OLYMPIC CLINICAL SERVICES, INC.
Practice address
1550 N 115TH St
Mailstop E170
Seattle, WA 98133-8401
Phone
(206) 368-1244
Fax
(206) 368-1270
NPI assigned
Aug 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Authorized official

Name
Cynthia Ann Downs, A.R.N.P.
Title
President
Phone
(425) 275-7629

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X AP30001778 WA Primary

Addresses

Primary practice location

1550 N 115TH St
Mailstop E170
Seattle, WA 98133-8401

Mailing address

18820 Aurora Ave N
Suite 104B
Shoreline, WA 98133-3900
Phone (206) 542-7118

Other identifiers 2

IdentifierTypeStateIssuer
9635806MedicaidWA
0142812OtherWALABOR AND INDUSTRIES

National Provider Directory

National Provider Directory

Locations

1550 N 115th St
#E170
Seattle, WA 98133
Phone (206) 368-1244

18820 Aurora Ave N
Ste 104B
Shoreline, WA 98133

1802 Yakima Ave
Ste 302
Tacoma, WA 98405
Phone (253) 591-6739

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194998400000",
    "number": "1417064643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18820 AURORA AVE N",
            "address_2": "SUITE 104B",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333900",
            "telephone_number": "206-542-7118",
            "fax_number": "206-542-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N 115TH ST",
            "address_2": "MAILSTOP E170",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338401",
            "telephone_number": "206-368-1244",
            "fax_number": "206-368-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMPIC CLINICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-11-14",
        "status": "A",
        "authorized_official_last_name": "DOWNS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-275-7629",
        "authorized_official_credential": "A.R.N.P."
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30001778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9635806",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0142812",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; 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.