Active NPI
Express Care Clinic LLC
- Community/Behavioral Health Agency
- Seattle, WA
National Provider Identifier
1669295051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- EXPRESS CARE CLINIC LLC
- Practice address
- 123 Mercer St # 201
Seattle, WA 98109-4639 - Phone
- (310) 400-4484
- NPI assigned
- Nov 4, 2024
- Last updated
- Nov 4, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacqueline Porter
- Title
- Owner
- Phone
- (310) 400-4484
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
123 Mercer St # 201
Seattle, WA 98109-4639
Mailing address
415 1St Ave N Unit 9581
Seattle, WA 98109-4594
Phone (310) 400-4484
National Provider Directory
National Provider DirectoryLocations
123 Mercer St
#201
Seattle, WA 98109
Phone (310) 400-4484
123 Mercer St
Ste 201
Seattle, WA 98109
Phone (253) 720-7422
415 1st Ave N
Unit 9581
Seattle, WA 98109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730678400000",
"number": "1669295051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 1ST AVE N UNIT 9581",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094594",
"telephone_number": "310-400-4484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 MERCER ST # 201",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094639",
"telephone_number": "310-400-4484"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EXPRESS CARE CLINIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-04",
"last_updated": "2024-11-04",
"certification_date": "2024-11-04",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "JACQUELINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "310-400-4484"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.