Organization Active NPI

North Sound Center for Integrative Medicine PS

  • Pain Clinic/Center
  • Burlington, WA
National Provider Identifier
1831321850
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
NORTH SOUND CENTER FOR INTEGRATIVE MEDICINE PS
Practice address
816 E Fairhaven Ave
Burlington, WA 98233-1917
Phone
(360) 336-0123
Fax
(360) 336-0126
NPI assigned
Aug 10, 2009
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Marian Elaine Johnston, M.D.NPI 1437107059
Title
Physician/President
Phone
(360) 336-0123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X MD00035789 WA

Addresses

Primary practice location

816 E Fairhaven Ave
Burlington, WA 98233-1917

Mailing address

PO Box 354
Burlington, WA 98233-0354
Phone (360) 336-0123

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncpcstaff@hotmail.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091104000187 WA Part B Supplier - Clinic/Group Practice 2961549472 Receives reassigned benefits from 1 practitioner
Practice locations: Burlington, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2016510North Sound Center for Integrative Medicine816 E Fairhaven Dr, Burlington, WA 98233Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

816 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 336-0123

117 N 1st St
Ste 47
Mount Vernon, WA 98273
Phone (360) 336-0123

125 N 18th St
Ste B
Mount Vernon, WA 98273
Phone (360) 336-0123

21818 66th Ave W
Ste 3
Mountlake Terrace, WA 98043
Phone (360) 336-0123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1249862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1831321850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 354",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982330354",
            "telephone_number": "360-336-0123",
            "fax_number": "360-336-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982331917",
            "telephone_number": "360-336-0123",
            "fax_number": "360-336-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SOUND CENTER FOR INTEGRATIVE MEDICINE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-10",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "MARIAN",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "360-336-0123",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "WA",
            "license": "MD00035789",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncpcstaff@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Practice email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "816 E Fairhaven Ave",
            "city": "Burlington",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982331917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.