Organization Active NPI

Express Care Clinic LLC

  • Community/Behavioral Health Agency
  • Seattle, WA
National Provider Identifier
1669295051
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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": []
}

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 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.

Verify at the official NPI Registry.