Individual provider Active NPI

Anna Jain, MD

  • Pediatrics Physician
  • Marysville, WA
National Provider Identifier
1417336058
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD61123262 Issued in WA
Practice address
8923 Soper Hill Rd
Marysville, WA 98270-6882
Phone
(425) 397-1702
Fax
(425) 397-1750
NPI assigned
May 28, 2015
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD61123262 WA Primary

Addresses

Primary practice location

8923 Soper Hill Rd
Marysville, WA 98270-6882

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL reception@seahurstpediatrics.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207002288 WA Practitioner - Pediatric Medicine 8628383577 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61123262WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Pediatrics Current Accepting new patients
Optum Care Washington PLLC Pediatrics CurrentSince Jan 30, 2023 Accepting new patients
Seahurst Pediatrics PLLC Pediatrics CurrentSince Oct 1, 2022 Accepting new patients
Optum Care Washington PLLC Pediatrics CurrentSince Jan 30, 2023 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 30, 2023 Accepting new patients
The Polyclinic CurrentSince Jan 30, 2023 Accepting new patients
Optum Care Washington PLLC Past Accepting new patients
Highline Internal Medicine PS PastSince Oct 1, 2022 Accepting new patients

Locations

16233 Sylvester Rd SW
Ste 230
Burien, WA 98166
Phone (206) 242-7822

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

8910 Vernon Rd
Lake Stevens, WA 98258
Phone (425) 397-1700

8923 Soper Hill Rd
Marysville, WA 98270
Phone (425) 397-1702

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • Direct secure messaging: ajain70617@direct.tecmc.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1417336058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8923 SOPER HILL RD",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982706882",
            "telephone_number": "425-397-1702",
            "fax_number": "425-397-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ANNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD61123262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "reception@seahurstpediatrics.com",
            "affiliation": "N",
            "endpointDescription": "secured email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "16233 Sylvester Rd SW Ste 230",
            "city": "Burien",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981663044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

Verify at the official NPI Registry.