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
National Provider Directory
Locations
1706 Broadway
Everett, WA 98201
Phone (206) 420-3484
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1065189 | Other | WA | DSHS CHILDREN'S AGENCY GROUP HOME LICENSE |
Other names
- Nursing Evolutions
NPI Registry JSON
{
"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"
}
]
}
Other providers in Everett, WA
- Guadalupe Castro
- Justine Renee Castro
- Kayla Castro
- Michael E Castro
- Samantha Caswell
- Catholic Community Services
- Catholic Community Services
- Catholic Community Services of Western Washington
- Catholic Community Services of Western Washington
- Catholic Community Services Western Washington
All providers in Everett, WA · Pediatric Skilled Nursing Facility in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.