Active NPI
Fircrest
- Nursing Facility/Intermediate Care Facility
- Shoreline, WA
National Provider Identifier
1750378402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- Legal business name
- FIRCREST
- Practice address
- 15230 15TH Ave NE
Shoreline, WA 98155-7130 - Phone
- (206) 361-3511
- Fax
- (206) 361-2997
- NPI assigned
- Sep 27, 2005
- 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
- Ms. Shirley N. Pilkey, B.A.
- Title
- Nha
- Phone
- (206) 361-3515
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | Primary |
Addresses
Primary practice location
15230 15TH Ave NE
Shoreline, WA 98155-7130
Mailing address
15230 15TH Ave NE
Shoreline, WA 98155-7130
Phone (206) 361-3511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4088464 | Medicaid | WA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D0880687 | Fircrest | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Fircrest
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Shoreline, WA
- NPI 1013950393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1750378402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15230 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557130",
"telephone_number": "206-361-3511",
"fax_number": "206-361-2997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15230 15TH AVE NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981557130",
"telephone_number": "206-361-3511",
"fax_number": "206-361-2997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FIRCREST",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "PILKEY",
"authorized_official_first_name": "SHIRLEY",
"authorized_official_middle_name": "N.",
"authorized_official_title_or_position": "NHA",
"authorized_official_telephone_number": "206-361-3515",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "B.A."
},
"taxonomies": [
{
"code": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4088464",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.