Fidalgo Island Walk-in Clinic

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FIDALGO ISLAND WALK-IN CLINIC

Practice address

1500 Commercial Ave
Anacortes, WA 98221-2235

Phone

(360) 299-2650

Fax

(360) 299-2651

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Catherine M Mizen, ARNP

Title

Medical Director

Phone

(360) 299-2650

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Robert Mizen, ARNP

  • Family Nurse Practitioner
  • Anacortes, WA
  • NPI 1427458744
  NPD

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1801912241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 COMMERCIAL AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212235",
            "telephone_number": "360-299-2650",
            "fax_number": "360-299-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 COMMERCIAL AVE",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212235",
            "telephone_number": "360-299-2650",
            "fax_number": "360-299-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDALGO ISLAND WALK-IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "MIZEN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "360-299-2650",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9648858",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helena Louise Fenters
• Kylee Fick, MSW
• Fidalgo Functional Physical Therapy
• Fidalgo Island Chiropractic Clinic
• Fidalgo Island Pediatric Occupational Therapy Services PLLC
• Fidalgo Medical Associates PLLC
• Fidalgo Pharmacy Services, Inc
• Fidalgo Sports and Physiatry
• Dana Marie Fischer, MA00024010
• Janet Fischer, LSWAA

• Health Service Clinic/Center in Anacortes, WA
• Providers in Anacortes, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.