Organization Active NPI

Moving Forward Washington, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1730925066
Registry record updated Jul 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jul 5, 2024

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, ARNPNPI 1831500388
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)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250929000983 WA Part B Supplier - Clinic/Group Practice 8224533310 Receives reassigned benefits from 1 practitioner
Practice locations: Everett, WA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.