Active NPI
At Your Home Primary Care, Inc.
- Primary Care Clinic/Center
- Snohomish, WA
National Provider Identifier
1457618704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- AT YOUR HOME PRIMARY CARE, INC.
- Practice address
- 3922 113TH Ave SE
Snohomish, WA 98290-5589 - Phone
- (425) 299-2170
- NPI assigned
- Apr 11, 2012
- Last updated
- Apr 11, 2012
- 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
- Mrs. Kimberly Ruth Poppe, ARNP
- Title
- President
- Phone
- (425) 299-2170
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
3922 113TH Ave SE
Snohomish, WA 98290-5589
Mailing address
PO Box 126
Snohomish, WA 98291-0126
Phone (425) 299-2170
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334102400000",
"number": "1457618704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 126",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982910126",
"telephone_number": "425-299-2170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3922 113TH AVE SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982905589",
"telephone_number": "425-299-2170"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AT YOUR HOME PRIMARY CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-11",
"last_updated": "2012-04-11",
"status": "A",
"authorized_official_last_name": "POPPE",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "425-299-2170",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snohomish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.