Organization Active NPI

Joiviva Primary Care, PLLC

  • Family Medicine Physician
  • Bainbridge Island, WA
National Provider Identifier
1578435509
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
JOIVIVA PRIMARY CARE, PLLC
Practice address
945 Hildebrand LN NE Ste 102
Bainbridge Island, WA 98110-2877
Phone
(206) 745-2859
Fax
(206) 451-5439
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Catherine Edwards, MDNPI 1184827768
Title
Owner
Phone
(206) 745-2859

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

945 Hildebrand LN NE Ste 102
Bainbridge Island, WA 98110-2877

Mailing address

945 Hildebrand LN NE Ste 102
Bainbridge Island, WA 98110-2877
Phone (206) 745-2859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260227003788 WA Part B Supplier - Clinic/Group Practice 9537640420 Receives reassigned benefits from 1 practitioner
Practice locations: Bainbridge Island, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2338603Joiviva Primary Care945 Hildebrand LN NE Ste 102, Bainbridge Island, WA 98110Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory

Locations

945 Hildebrand Ln NE
Ste 102
Bainbridge Island, WA 98110
Phone (206) 745-2859

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1578435509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102877",
            "telephone_number": "206-745-2859",
            "fax_number": "206-451-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 HILDEBRAND LN NE STE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102877",
            "telephone_number": "206-745-2859",
            "fax_number": "206-451-5439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOIVIVA PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-745-2859",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.