Enabled Health PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

ENABLED HEALTH PLLC

Practice address

110 W Crawford St
Deer Park, WA 99006-5356

Phone

(425) 400-9335

NPI assigned

Dec 13, 2021

Last updated

Jul 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Bethany Doran, MDNPI 1619261641

Title

Ceo

Phone

(425) 400-9335

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 2

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.

• Bethany Doran, M.D.

  • Cardiovascular Disease Physician
  • Aurora, CO
  • NPI 1619261641

  WA

  Medicare reassignment Care Compare group NPD Authorized official
• Christina Lee, DNP

  • Family Nurse Practitioner
  • Kirkland, WA
  • NPI 1528939188
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689552000000",
    "number": "1831858240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11216 20TH ST SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982584748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W CRAWFORD ST",
            "city": "DEER PARK",
            "state": "WA",
            "postal_code": "990065356",
            "telephone_number": "425-400-9335"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1511 3rd Ave Ste 607",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981011641",
            "country_code": "US",
            "telephone_number": "347-868-0325",
            "fax_number": "347-647-6129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ENABLED HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-13",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A",
        "authorized_official_last_name": "DORAN",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "425-400-9335",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody B Devore
• Stephanie Dawn Doud, ARNP
• Jennifer M Dyer, MSW, LICSW
• James Scott Easton III
• Bryce Cameron Ellgen, DPT
• David Enger, P.T.
• Edgar A Figueroa, M.D.
• Fireside Counseling, Inw
• Jillian Rae Foglesong Stabile, M.D.
• Foundation Family Medicine

• Cardiovascular Disease Physician in Deer Park, WA
• Providers in Deer Park, WA by specialty
• Cardiovascular Disease Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.