Active NPI
DRX Wa Urgent Care Providers, PLLC
- Family Medicine Physician
- Kirkland, WA
National Provider Identifier
1750626883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- DRX WA URGENT CARE PROVIDERS, PLLC
- Practice address
- 13718 100TH Ave NE
Kirkland, WA 98034-5216 - Phone
- (206) 706-9001
- NPI assigned
- Nov 29, 2012
- 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
- Jeromy Sjolseth
- Title
- Director of Operations
- Phone
- (206) 706-9001
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | |||
| Family Medicine Physician | 207Q00000X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
13718 100TH Ave NE
Kirkland, WA 98034-5216
Mailing address
9000 Holman Rd NW
Suite A1
Seattle, WA 98117-3418
Other names 1
- Immediate Clinic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354147200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381363200000",
"number": "1750626883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 HOLMAN RD NW",
"address_2": "SUITE A1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981173418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13718 100TH AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980345216",
"telephone_number": "206-706-9001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRX WA URGENT CARE PROVIDERS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-29",
"last_updated": "2013-10-10",
"status": "A",
"authorized_official_last_name": "SJOLSETH",
"authorized_official_first_name": "JEROMY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "206-706-9001"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Immediate Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.