Active NPI
Primary Care Center, LLC.
- Primary Care Nurse Practitioner
- Seattle, WA
National Provider Identifier
1710763875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- PRIMARY CARE CENTER, LLC.
- Doing business as
- Primary Care Center, LLC
- Practice address
- 9030 35TH Ave SW
Seattle, WA 98126-3821 - Phone
- (413) 386-0055
- NPI assigned
- Sep 5, 2023
- Last updated
- Sep 5, 2023
- 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
- Jane H Cox, CREDENTIALING
- Title
- Cox Credentialing
- Phone
- (949) 664-2796
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | |||
| Gerontology Nurse Practitioner | 363LG0600X | |||
| Primary Care Nurse Practitioner | 363LP2300X | Primary | ||
| Adult Health Clinical Nurse Specialist | 364SA2200X |
Addresses
Primary practice location
9030 35TH Ave SW
Seattle, WA 98126-3821
Mailing address
6214 Broadway
Everett, WA 98203-4839
Phone (413) 386-0055
Other names 1
- Primary Care Center, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693872000000",
"number": "1710763875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6214 BROADWAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982034839",
"telephone_number": "413-386-0055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9030 35TH AVE SW",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981263821",
"telephone_number": "413-386-0055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE CENTER, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A",
"authorized_official_last_name": "COX",
"authorized_official_first_name": "JANE",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "COX CREDENTIALING",
"authorized_official_telephone_number": "949-664-2796",
"authorized_official_credential": "CREDENTIALING"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Primary Care Center, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Seattle, WA
- Emily Donna Priebe, RDH
- Jasmine M Prieto, MA, CCC-SLP
- Thomas Fulton Prieur
- Carol K Prigge
- Michelle Louise Prihoda, RN, BSN, DNP
- Primary Care Clinic, Inc
- Primary Care of Seattle, PLLC
- Primary Care Partners Northwest PS (Primary Care Partners Northwest)
- Primary Health Care Associates
- Jennifer Nicole Primeau, LMP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.