NPIMap

Organization Active NPI

Dr. Stephen Nevett and Associates, P.C.

  • Health Service Clinic/Center
  • Seattle, WA
National Provider Identifier
1619287240
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
OD60060955 Issued in WA
Legal business name
DR. STEPHEN NEVETT AND ASSOCIATES, P.C.
Practice address
401 NE Northgate Way SPC 1101
Seattle, WA 98125-8538
Phone
(972) 740-2027
NPI assigned
Oct 16, 2010
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Dr. Stephen Dennis Nevett, O.D.NPI 1023202140
Title
President
Phone
(972) 740-2027

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X
Health Service Clinic/Center 261QH0100X OD60060955 WA Primary

Addresses

Primary practice location

401 NE Northgate Way SPC 1101
Seattle, WA 98125-8538

Mailing address

401 NE Northgate Way
Suite 530
Seattle, WA 98125-6036
Phone (972) 740-2027

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101230000290 WA Part B Supplier - Clinic/Group Practice 0648468975 Receives reassigned benefits from 13 practitioners
Practice locations: Kirkland, WA; Lynnwood, WA; Seattle, WA

National Provider Directory

National Provider Directory

Locations

11901 NE Village Plz
Ste 169
Kirkland, WA 98034
Phone (425) 602-6152

2701 184th St SW
Ste 109
Lynnwood, WA 98037
Phone (425) 712-8443

401 NE Northgate Way
Spc 1101
Seattle, WA 98125
Phone (206) 364-1668

401 NE Northgate Way
Ste 602
Seattle, WA 98125
Phone (206) 364-2273

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1287187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1619287240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 NE NORTHGATE WAY",
            "address_2": "SUITE 530",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981256036",
            "telephone_number": "972-740-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NE NORTHGATE WAY SPC 1101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981258538",
            "telephone_number": "972-740-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHEN NEVETT AND ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-16",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "NEVETT",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-740-2027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": "OD60060955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.