Village Family Clinic and Wellness Center, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP30004759 Issued in WA

Legal business name

VILLAGE FAMILY CLINIC AND WELLNESS CENTER, PLLC

Practice address

317 NW Gilman Blvd
Suite 48
Issaquah, WA 98027-2496

Phone

(425) 996-3396

NPI assigned

Aug 31, 2008

Last updated

Aug 31, 2008By 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

Mrs. Kristina Diane Garrido, MSN, ARNPNPI 1760663025

Title

Nurse Practitioner/Owner

Phone

(425) 996-3396

Specialties & licenses 1

Addresses

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.

• Kristina Garrido, ARNP

  • Family Nurse Practitioner
  • Issaquah, WA
  • NPI 1760663025
  NPD (past) Authorized official
• Staci Suzanne Scott, ARNP, CPNP

  • Pediatric Nurse Practitioner
  • Issaquah, WA
  • NPI 1285818369
  NPD (past)

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

{
    "created_epoch": "1220140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220140800000",
    "number": "1851549034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 NW GILMAN BLVD",
            "address_2": "SUITE 48",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272496",
            "telephone_number": "425-996-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 NW GILMAN BLVD",
            "address_2": "SUITE 48",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272496",
            "telephone_number": "425-996-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE FAMILY CLINIC AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-31",
        "last_updated": "2008-08-31",
        "status": "A",
        "authorized_official_last_name": "GARRIDO",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "425-996-3396",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN, ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP30004759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy S Vergara, MS, NCC, LMHC
• Victor R. Michalak (dba Cosmetic Surgery & Dermatology of Issaquah, Inc.)
• Victor R. Michalak, MD (Cosmetic Surgery & Dermatology, Inc.)
• Michelle Lynne Vierra, PA-C
• Stephen Vigil
• Village Pediatrics, PLLC
• Jasmin Fe Villanueva, LMT
• Rex Villanueva, D.O.
• Craig R Villari, M.D.
• Vimla B Katara Madison Physical Therapy Clinic

• Primary Care Clinic/Center in Issaquah, WA
• Providers in Issaquah, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2008; 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.