My Choices

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

601149379 Issued in WA

Legal business name

MY CHOICES

Practice address

824 E 8TH St
Port Angeles, WA 98362-6451

Phone

(360) 452-3300

NPI assigned

Dec 2, 2016

Organization subpart

No

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

Authorized official

Name

Janice L Sussman

Title

Executive Director

Phone

(360) 452-3300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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.

• Shelby A Depas, ARNP

  • Nurse Practitioner
  • Minnetonka, MN
  • NPI 1326000589

  WA

  Medicare reassignment NPD
• Kalli M Jones, CPNP

  • Pediatric Nurse Practitioner
  • Port Angeles, WA
  • NPI 1043546021
  NPD (past)
• David Matthew Lewis, D.O.

  • Family Medicine Physician
  • Port Angeles, WA
  • NPI 1770843823
  NPD (past)

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480636800000",
    "number": "1588107999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620007",
            "telephone_number": "360-452-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626451",
            "telephone_number": "360-452-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY CHOICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-02",
        "last_updated": "2016-12-02",
        "status": "A",
        "authorized_official_last_name": "SUSSMAN",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "360-452-3300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "601149379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mosaic Learning Systems, Inc.
• Lauren Teresa Mosley
• James P Mowry, MD
• Christina Murphy
• Ethan Musalek
• David James Myers, CDPT
• Kaleinani Eva Myers
• Linda Rae Myhres, LMT
• Mynurse
• Hannah Raye Ruth Nelson, RN

• Clinic/Center in Port Angeles, WA
• Providers in Port Angeles, WA by specialty
• Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.