NPIMap

Organization Active NPI

County of Island

  • Community Health Registered Nurse
  • Coupeville, WA
National Provider Identifier
1467581678
Registry record updated Jan 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
COUNTY OF ISLAND
Practice address
410 N. Main St.
Coupeville, WA 98239-5000
Phone
(360) 679-7351
Fax
(360) 679-7347
NPI assigned
Mar 5, 2007
Last updated
Jan 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2015

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

Authorized official

Name
Dr. John B Thomas, MDNPI 1114978913
Title
Health Officer
Phone
(360) 240-5575

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X NU Primary

Addresses

Primary practice location

410 N. Main St.
Coupeville, WA 98239-5000

Mailing address

PO Box 5000
Coupeville, WA 98239-5000
Phone (360) 679-7351

Other identifiers 3

IdentifierTypeStateIssuer
8017741MedicaidWA
7400724MedicaidWA
7046493MedicaidWA

Other names 1

  • Island County Health Department Other name

National Provider Directory

National Provider Directory

Locations

5475 Maxwelton Rd
Langley, WA 98260
Phone (360) 221-8880

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1467581678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5000",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982395000",
            "telephone_number": "360-679-7351",
            "fax_number": "360-679-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N. MAIN ST.",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982395000",
            "telephone_number": "360-679-7351",
            "fax_number": "360-679-7347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "360-240-5575",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8017741",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7400724",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7046493",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Coupeville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.