Active NPI
North Sound Center for Integrative Medicine PS
- Pain Clinic/Center
- Burlington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marian Elaine Johnston, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ncpcstaff@hotmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2016510 | North Sound Center for Integrative Medicine | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Anesthesiology) Physician
- Mount Vernon, WA
- NPI 1437107059
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.