NPIMap

Organization Active NPI

Premier Nursing Care Agency

  • Registered Nurse
  • Seattle, WA
National Provider Identifier
1649411190
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00162766 Issued in WA
Legal business name
PREMIER NURSING CARE AGENCY
Practice address
5707 South Augusta St
Seattle, WA 98178
Phone
(206) 722-5100
Fax
(206) 722-0394
NPI assigned
Mar 13, 2009
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Forson Addae Boateng, RNNPI 1760112536
Title
Administrator
Phone
(206) 722-5100

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN00162766 WA Primary

Addresses

Primary practice location

5707 South Augusta St
Seattle, WA 98178

Mailing address

5707 South Augusta St
Seattle, WA 98178
Phone (206) 722-5100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1649411190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 SOUTH AUGUSTA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98178",
            "telephone_number": "206-722-5100",
            "fax_number": "206-722-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 SOUTH AUGUSTA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98178",
            "telephone_number": "206-722-5100",
            "fax_number": "206-722-0394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER NURSING CARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-13",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "BOATENG",
        "authorized_official_first_name": "FORSON",
        "authorized_official_middle_name": "ADDAE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-722-5100",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00162766",
            "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 Mar 13, 2009; 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.