Organization Active NPI

Fircrest

  • Nursing Facility/Intermediate Care Facility
  • Shoreline, WA
National Provider Identifier
1750378402
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4088464MedicaidWA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D0880687Fircrest15230 15TH Ave NE, Shoreline, WA 98155Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Fircrest2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.