Catherine Dambrosio PHD RN &

Organization Active NPI Pediatric Skilled Nursing Facility · Everett, WA

NPI 1457793754 · NPPES record last updated Dec 6, 2024

Key facts

NPI
1457793754
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Skilled Nursing Facility 3140N1450X
License
1065189 (WA)
Legal business name
CATHERINE DAMBROSIO PHD RN &
Practice address
2026 E Grand Ave
Everett, WA 98201-3335
Phone
(206) 420-3484
NPI assigned
Jul 27, 2013
Organization subpart
No

Authorized official

Name
Karl V Dambrosio, BS, MS, CDR
Title
Ceo
Phone
(206) 420-3484

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

1706 Broadway
Everett, WA 98201
Phone (206) 420-3484

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X IHS.FS.60318430 WA
Nursing Care Agency 251J00000X IHS.FS.60318430 WA
Nursing Facility/Intermediate Care Facility 313M00000X 1065189 WA
Pediatric Skilled Nursing Facility 3140N1450X 1065189 WA Yes

Addresses

Primary practice location

2026 E Grand Ave
Everett, WA 98201-3335

Mailing address

2026 E Grand Ave
Everett, WA 98201-3335
Phone (206) 420-3484

Other practice location 1

1706 Broadway
Everett, WA 98201-2347
Phone (206) 420-3484

Other identifiers

IdentifierTypeStateIssuer
1065189OtherWADSHS CHILDREN'S AGENCY GROUP HOME LICENSE

Other names

  • Nursing Evolutions Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 6, 2024.

{
    "created_epoch": "1374883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1457793754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2026 E GRAND AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013335",
            "telephone_number": "206-420-3484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2026 E GRAND AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982013335",
            "telephone_number": "206-420-3484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1706 Broadway",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982012347",
            "country_code": "US",
            "telephone_number": "206-420-3484",
            "fax_number": "206-737-5057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATHERINE DAMBROSIO PHD RN &",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-27",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "DAMBROSIO",
        "authorized_official_first_name": "KARL",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-420-3484",
        "authorized_official_credential": "BS, MS, CDR"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "WA",
            "license": "IHS.FS.60318430",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "IHS.FS.60318430",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "1065189",
            "primary": false
        },
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "WA",
            "license": "1065189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS CHILDREN'S AGENCY GROUP HOME LICENSE",
            "identifier": "1065189",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nursing Evolutions",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nursing Evolutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.