Active NPI
Olympic Clinical Services, Inc.
- Adult Health Nurse Practitioner
- Seattle, WA
National Provider Identifier
1417064643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30001778
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9635806 | Medicaid | WA | |
| 0142812 | Other | WA | LABOR AND INDUSTRIES |
National Provider Directory
National Provider DirectoryLocations
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.