Active NPI
Quintarvis Felder, LPN
- Licensed Practical Nurse
- Lynnwood, WA
National Provider Identifier
1780503722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- LP60415781
- Practice address
- 19321 44TH Ave W
Lynnwood, WA 98036-5664 - Phone
- (425) 296-4492
- NPI assigned
- Jul 14, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | LP60415781 | WA | Primary |
Addresses
Primary practice location
19321 44TH Ave W
Lynnwood, WA 98036-5664
Mailing address
10814 Davisson Rd SW
Lakewood, WA 98499-2248
Phone (360) 998-0717
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1780503722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10814 DAVISSON RD SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992248",
"telephone_number": "360-998-0717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19321 44TH AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980365664",
"telephone_number": "425-296-4492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDER",
"first_name": "QUINTARVIS",
"credential": "LPN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-14",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "WA",
"license": "LP60415781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.