NPIMap

Organization Active NPI

VA

  • Nursing Facility/Intermediate Care Facility
  • Lynnwood, WA
National Provider Identifier
1467621748
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
LP00051995 Issued in WA
Legal business name
VA
Practice address
17928 33Rd PL W
Lynnwood, WA 98037-7734
Phone
(425) 678-8557
NPI assigned
Feb 21, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

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

Authorized official

Name
Mrs. Senait Gebru Wolemihael
Title
LPN
Phone
(206) 764-2087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X LP00051995 WA Primary

Addresses

Primary practice location

17928 33Rd PL W
Lynnwood, WA 98037-7734

Mailing address

17928 33Rd PL W
Lynnwood, WA 98037-7734
Phone (425) 678-8557

National Provider Directory

National Provider Directory
Tax ID family
James a Haley Veterans' Hospital179 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 5

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1467621748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17928 33RD PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377734",
            "telephone_number": "425-678-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17928 33RD PL W",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980377734",
            "telephone_number": "425-678-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "WOLEMIHAEL",
        "authorized_official_first_name": "SENAIT",
        "authorized_official_middle_name": "GEBRU",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "206-764-2087",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WA",
            "license": "LP00051995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.