Active NPI
Moving Forward Washington, PLLC
- Psychiatric/Mental Health Nurse Practitioner
- Everett, WA
National Provider Identifier
1730925066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- MOVING FORWARD WASHINGTON, PLLC
- Practice address
- 1721 Hewitt Ave Ste 506
Everett, WA 98201-3546 - Phone
- (425) 407-2771
- Fax
- (425) 484-1384
- NPI assigned
- Jul 5, 2024
- 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
- Nehemiah Zarate-Rourke, DNP, PMHNP-BC, ARNP
- Title
- Provider/Owner
- Phone
- (425) 407-2771
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
1721 Hewitt Ave Ste 506
Everett, WA 98201-3546
Mailing address
1721 Hewitt Ave Ste 506
Everett, WA 98201-3546
Phone (425) 407-2771
Other names 1
- Moving Forward Washington
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1721 Hewitt Ave
Ste 506
Everett, WA 98201
Phone (425) 407-2771
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Everett, WA
- NPI 1831500388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720137600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720137600000",
"number": "1730925066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 HEWITT AVE STE 506",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013546",
"telephone_number": "425-407-2771",
"fax_number": "425-484-1384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 HEWITT AVE STE 506",
"city": "EVERETT",
"state": "WA",
"postal_code": "982013546",
"telephone_number": "425-407-2771",
"fax_number": "425-484-1384"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOVING FORWARD WASHINGTON, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-05",
"last_updated": "2024-07-05",
"certification_date": "2024-07-05",
"status": "A",
"authorized_official_last_name": "ZARATE-ROURKE",
"authorized_official_first_name": "NEHEMIAH",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "425-407-2771",
"authorized_official_credential": "DNP, PMHNP-BC, ARNP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moving Forward Washington",
"code": "5",
"type": "Other Name"
}
]
}
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 Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.