Ec Mobile Medical Clinic and Spa LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

EC MOBILE MEDICAL CLINIC AND SPA LLC

Practice address

33043 SE Cottonwood St
Black Diamond, WA 98010-5070

Phone

(206) 419-9561

NPI assigned

Feb 19, 2024

Organization subpart

No

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

Authorized official

Name

Ma Isabel Obligacion, ARNPNPI 1760017115

Title

Ceo

Phone

(206) 419-9561

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Practitioners 1

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

• Ma Isabel Abuhon Obligacion, NP

  • Family Nurse Practitioner
  • Maple Valley, WA
  • NPI 1760017115
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1629833736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33043 SE COTTONWOOD ST",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980105070",
            "telephone_number": "206-419-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33043 SE COTTONWOOD ST",
            "city": "BLACK DIAMOND",
            "state": "WA",
            "postal_code": "980105070",
            "telephone_number": "206-419-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EC MOBILE MEDICAL CLINIC AND SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "OBLIGACION",
        "authorized_official_first_name": "MA ISABEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-419-9561",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Carpenter, ARNP
• Geoffrey James Chipps, L.M.H.C.
• Chloe Mirick DDS PLLC
• Tracy Leeanne Chmielewski, OT
• Community Birth Group
• Mandy Engelker
• Anthony John Giralmo, D.C
• April Graham, ND
• Valerie Hayden, LICASW
• Jill Marie Hollenbeck, LSWAIC

• Family Nurse Practitioner in Black Diamond, WA
• Providers in Black Diamond, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.