Organization Active NPI

Island Assessment, LLC

  • Substance Abuse Rehabilitation Facility
  • Oak Harbor, WA
National Provider Identifier
1720556988
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
ISLAND ASSESSMENT, LLC
Practice address
520 E Whidbey Ave Ste 205
Oak Harbor, WA 98277-5921
Phone
(206) 547-2171
NPI assigned
Nov 6, 2018
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Amy June Hofeditz, CDP
Title
Administrator
Phone
(206) 547-2171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X NU Primary

Addresses

Primary practice location

520 E Whidbey Ave Ste 205
Oak Harbor, WA 98277-5921

Mailing address

520 E Whidbey Ave Ste 205
Oak Harbor, WA 98277-5921
Phone (206) 547-2171

Other practice location 1

4250 Aurora Ave N Apt A106
Seattle, WA 98103-7394
Phone (206) 547-2171

National Provider Directory

National Provider Directory

Locations

4250 Aurora Ave N
Apt A106
Seattle, WA 98103
Phone (206) 547-2171

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1720556988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E WHIDBEY AVE STE 205",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775921",
            "telephone_number": "206-547-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E WHIDBEY AVE STE 205",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982775921",
            "telephone_number": "206-547-2171"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Aurora Ave N Apt A106",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981037394",
            "country_code": "US",
            "telephone_number": "206-547-2171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND ASSESSMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "HOFEDITZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-547-2171",
        "authorized_official_credential": "CDP"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Harbor, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.