NPIMap

Organization Active NPI

Lki- Nurtured Heart Center

  • Physician Assistant
  • Arlington, WA
National Provider Identifier
1801036017
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60013935 Issued in WA
Legal business name
LKI- NURTURED HEART CENTER
Practice address
102 E Division St
Arlington, WA 98223-1235
Phone
(360) 403-7526
Fax
(360) 403-3264
NPI assigned
Feb 27, 2009
Organization subpart
Yes
Parent organization
LKI FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Ms. Yvonne Marie Ito
Title
Director
Phone
(360) 403-7526

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X PA60013935 WA Primary

Addresses

Primary practice location

102 E Division St
Arlington, WA 98223-1235

Mailing address

20902 67TH Ave NE # 365
Arlington, WA 98223-8274
Phone (360) 403-7526

National Provider Directory

National Provider Directory
Tax ID family
Lki Family Services2 organizations share this tax ID, including this one
Part of
Lki Family Services

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1801036017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20902 67TH AVE NE # 365",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238274",
            "telephone_number": "360-403-7526",
            "fax_number": "360-403-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E DIVISION ST",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231235",
            "telephone_number": "360-403-7526",
            "fax_number": "360-403-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LKI- NURTURED HEART CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LKI FAMILY SERVICES",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "ITO",
        "authorized_official_first_name": "YVONNE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "360-403-7526",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60013935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.