Organization Active NPI

House Call Doctors of Pacific Northwest

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1639788979
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
HOUSE CALL DOCTORS OF PACIFIC NORTHWEST
Practice address
303 Telegraph Rd
Bellingham, WA 98226-8751
Phone
(360) 863-6696
Fax
(360) 243-3185
NPI assigned
Jul 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Authorized official

Name
Bernadette Kimemia
Title
Owner
Phone
(407) 452-7166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

303 Telegraph Rd
Bellingham, WA 98226-8751

Mailing address

10224 Airport Way Ste a
Snohomish, WA 98296-8203
Phone (360) 863-6696

Other practice location 1

7024 Evergreen Way Ste A
Everett, WA 98203-5175
Phone (360) 863-6696

Other practice location 2

10224 Airport Way Ste A
Snohomish, WA 98296-8203
Phone (360) 863-6696

National Provider Directory

National Provider Directory

Locations

303 Telegraph Rd
Bellingham, WA 98226
Phone (360) 863-6696

7024 Evergreen Way
Ste A
Everett, WA 98203
Phone (360) 209-3090

10224 Airport Way
Ste Ab
Snohomish, WA 98296

10224 Airport Way
Ste A
Snohomish, WA 98296
Phone (360) 863-6696

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26152/brand/1/csg/1/fhir/r4

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": "1595376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1639788979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 AIRPORT WAY STE A",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968203",
            "telephone_number": "360-863-6696",
            "fax_number": "360-243-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 TELEGRAPH RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982268751",
            "telephone_number": "360-863-6696",
            "fax_number": "360-243-3185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7024 Evergreen Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982035175",
            "country_code": "US",
            "telephone_number": "360-863-6696",
            "fax_number": "360-243-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10224 Airport Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Snohomish",
            "state": "WA",
            "postal_code": "982968203",
            "country_code": "US",
            "telephone_number": "360-863-6696",
            "fax_number": "360-243-3185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOUSE CALL DOCTORS OF PACIFIC NORTHWEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-22",
        "last_updated": "2022-10-18",
        "certification_date": "2022-04-01",
        "status": "A",
        "authorized_official_last_name": "KIMEMIA",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-452-7166"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.