Supplemental Health Care

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SUPPLEMENTAL HEALTH CARE

Practice address

25901 115TH Street CT E
Buckley, WA 98321-9345

Phone

(425) 442-9521

NPI assigned

Feb 4, 2015

Last updated

Feb 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Day Klein

Title

Cota/L

Phone

(425) 442-9521

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1700276235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25901 115TH STREET CT E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983219345",
            "telephone_number": "425-442-9521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25901 115TH STREET CT E",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983219345",
            "telephone_number": "425-442-9521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLEMENTAL HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAY",
        "authorized_official_title_or_position": "COTA/L",
        "authorized_official_telephone_number": "425-442-9521",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Maureen Shannon
• Karen Anne Smith, CDP
• Ashley Stanley, PT, DPT
• Michaela Stanton
• Lisa Stotts
• Maua Wingi Swai, ARNP, FNP-C, PMHNP
• Adam John Tabet, M.D.
• Heather Thomas
• Paul Warner Thompson, PHARM.D.
• Melanie Tison

• Skilled Nursing Facility in Buckley, WA
• Providers in Buckley, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.