Individual provider Active NPI

Chenin Schaeffer Tofflemire

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1790597318
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61653355 Issued in WA
Practice address
10333 19TH Ave SE Ste 109
Everett, WA 98208-4267
Phone
(425) 742-4600
NPI assigned
Jan 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61653355 WA Primary

Addresses

Primary practice location

10333 19TH Ave SE Ste 109
Everett, WA 98208-4267

Mailing address

17732 Corliss Ave N
Shoreline, WA 98133-5158
Phone (206) 619-2457

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250313002095 WA Practitioner - Nurse Practitioner 5698297109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Shifa Health PLLCGroup PAC ID 9638070501, 14 clinicians

Practice addresses (Care Compare)

10333 19TH Ave SE
Suite 109
Everett, WA 98208-4267
Phone (425) 742-4600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shifa Health PLLC CurrentSince Apr 3, 2025 Accepting new patients

Locations

10333 19th Ave SE
Ste 109
Everett, WA 98208
Phone (425) 742-4600

1103 Cleveland Ave
Mount Vernon, WA 98273
Phone (360) 336-6868

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1790597318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17732 CORLISS AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335158",
            "telephone_number": "206-619-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 19TH AVE SE STE 109",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982084267",
            "telephone_number": "425-742-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOFFLEMIRE",
        "first_name": "CHENIN",
        "middle_name": "SCHAEFFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61653355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.