Active NPI
Johanna Stephanie Arce, DO
- Pediatrics Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- OP61586421
- Practice address
- 1424 Broadway
Everett, WA 98201-1720 - Phone
- (407) 729-9154
- NPI assigned
- Apr 3, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OP61586421 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1424 Broadway
Everett, WA 98201-1720
Mailing address
1424 Broadway
Everett, WA 98201-1720
Phone (407) 729-9154
Other practice location 1
13001 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 784-3127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OP61586421 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Current | Accepting new patients |
Locations
326 S Stillaguamish Ave
Arlington, WA 98223
Phone (360) 435-2144
23320 Highway 99
Edmonds, WA 98026
Phone (425) 640-5500
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
930 N Broadway
Everett, WA 98201
Phone (425) 317-0300
1424 Broadway
Everett, WA 98201
Phone (425) 551-1000
4201 Rucker Ave
Everett, WA 98203
Phone (425) 382-4000
4111 194th St SW
Lynnwood, WA 98036
Phone (425) 835-5200
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1700415569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1424 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011720",
"telephone_number": "407-729-9154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982011720",
"telephone_number": "407-729-9154"
}
],
"practiceLocations": [
{
"address_1": "13001 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Loxahatchee",
"state": "FL",
"postal_code": "33470",
"country_code": "US",
"telephone_number": "561-784-3127",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCE",
"first_name": "JOHANNA",
"middle_name": "STEPHANIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-03",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "OP61586421",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.