Active NPI
Physicians Care Family Medicine, Inc PS
- Family Nurse Practitioner
- Sedro Woolley, WA
National Provider Identifier
1588091045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60401875
- Legal business name
- PHYSICIANS CARE FAMILY MEDICINE, INC PS
- Practice address
- 1990 Hospital Dr
Suite 100
Sedro Woolley, WA 98284-9315 - Phone
- (360) 856-4141
- Fax
- (360) 856-4145
- NPI assigned
- Sep 30, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Sheryl Carman
- Title
- Office Manager
- Phone
- (360) 856-4141
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60401875 | WA | Primary |
Addresses
Primary practice location
1990 Hospital Dr
Suite 100
Sedro Woolley, WA 98284-9315
Mailing address
1990 Hospital Dr
Suite 100
Sedro Woolley, WA 98284-9315
Phone (360) 856-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900891025 | Other | WA | APPLICATION IN PROCESS |
National Provider Directory
National Provider Directory- Tax ID family
- Dietrich Smith Clinic Inc P S
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Sedro Woolley, WA
- NPI 1336145846
Locations
1990 Hospital Dr
Ste 100
Sedro Woolley, WA 98284
Phone (360) 856-4141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1380499200000",
"number": "1588091045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1990 HOSPITAL DR",
"address_2": "SUITE 100",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849315",
"telephone_number": "360-856-4141",
"fax_number": "360-856-4145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1990 HOSPITAL DR",
"address_2": "SUITE 100",
"city": "SEDRO WOOLLEY",
"state": "WA",
"postal_code": "982849315",
"telephone_number": "360-856-4141",
"fax_number": "360-856-4145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS CARE FAMILY MEDICINE, INC PS",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-30",
"last_updated": "2013-09-30",
"status": "A",
"authorized_official_last_name": "CARMAN",
"authorized_official_first_name": "SHERYL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "360-856-4141",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60401875",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APPLICATION IN PROCESS",
"identifier": "900891025",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sedro Woolley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.