Ewh Inc

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

UBI601998920 Issued in WA

Legal business name

EWH INC

Doing business as

Eastside Health Care

Practice address

1100 Eastside St SE
Olympia, WA 98501-7304

Phone

(360) 943-5127

Fax

(360) 754-2516

NPI assigned

May 11, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sara Magnuson-Whyte, DNP, ARNP, PMHNP, BC

Title

Secretary/Treasurer

Phone

(360) 943-5127

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Eastside Health Care Doing business as

Locations

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1841405982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 EASTSIDE ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985017304",
            "telephone_number": "360-943-5127",
            "fax_number": "360-754-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EASTSIDE ST SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985017304",
            "telephone_number": "360-943-5127",
            "fax_number": "360-754-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EWH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "MAGNUSON-WHYTE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "360-943-5127",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DNP, ARNP, PMHNP, BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "UBI601998920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7900491",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7099070",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastside Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Health Nurse Practitioner in Olympia, WA
• Providers in Olympia, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.