NPIMap

Individual provider Active NPI

Laura Nicole Urbanelli, PA-C

  • Medical Physician Assistant
  • Everett, WA
National Provider Identifier
1689100208
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61368438 Issued in WA
Practice address
3102 Colby Ave
Everett, WA 98201-4025
Phone
(425) 258-8110
Fax
(425) 258-6281
NPI assigned
May 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Medical Physician Assistant 363AM0700X PA61368438 WA Primary

Addresses

Primary practice location

3102 Colby Ave
Everett, WA 98201-4025

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other identifiers 1

IdentifierTypeStateIssuer
2228768MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170612000725 TX Practitioner - Physician Assistant 0042588212 Reassigns benefits to 2 organizations
I20230417001314 WA Practitioner - Physician Assistant 0042588212 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-4100

21601 76TH Ave W
Edmonds, WA 98026-7507
Phone (425) 563-1500

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Imaging Center Holdings LLC CurrentSince Apr 10, 2023 Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Apr 10, 2023 Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Apr 10, 2023 Accepting new patients
Medspring of Texas, PA Past Accepting new patients

Locations

3102 Colby Ave
Everett, WA 98201
Phone (425) 258-8110

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1689100208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3102 COLBY AVE",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014025",
            "telephone_number": "425-258-8110",
            "fax_number": "425-258-6281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANELLI",
        "first_name": "LAURA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-02",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61368438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2228768",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.