Active NPI
Public Hospital District No. 2
- Cardiovascular Disease Physician
- Kirkland, WA
National Provider Identifier
1851596258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- PUBLIC HOSPITAL DISTRICT NO. 2
- Practice address
- 12040 NE 128TH St
Kirkland, WA 98034-3013 - Phone
- (425) 899-1000
- NPI assigned
- Jun 18, 2007
- Last updated
- Feb 11, 2008
- Organization subpart
- Yes
- Parent organization
- PUBLIC HOSPITAL DISTRICT NO. 2
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chrissy Yamada
- Title
- Cfo
- Phone
- (425) 899-2600
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NU | ||
| Clinical Neuropsychologist | 103G00000X | NU | ||
| Cardiovascular Disease Physician | 207RC0000X | NU | Primary | |
| Pulmonary Disease Physician | 207RP1001X | NU | ||
| Psychiatry Physician | 2084P0800X | NU | ||
| Radiation Oncology Physician | 2085R0001X | NU |
Addresses
Primary practice location
12040 NE 128TH St
Kirkland, WA 98034-3013
Mailing address
PO Box 11610
Tacoma, WA 98411-6610
Phone (425) 899-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0025691 | Other | WA | WA STATE L&I 1500S ONLY |
Other names 1
- EHMC Professional
National Provider Directory
National Provider Directory- Tax ID family
- Public Hosp District No 2
- Part of
- Public Hosp District No 2
Other organizations with this tax ID 24
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Kirkland, WA
- NPI 1275066490
-
- Primary Care Clinic/Center
- Kirkland, WA
- NPI 1164876322
-
- Multi-Specialty Clinic/Center
- Kirkland, WA
- NPI 1588054332
-
dba Evergreen Healthcare
- Durable Medical Equipment & Medical Supplies
- Kirkland, WA
- NPI 1205056322
-
dba Evergreen Healthcare
- Neurology Physician
- Kirkland, WA
- NPI 1730251570
-
dba EvergreenHealth Lakeshore Bothell
- Family Medicine Physician
- Bothell, WA
- NPI 1013450386
-
dba MS Center at Evergreen
- Neurology Physician
- Kirkland, WA
- NPI 1265527584
-
dba EHPC Lakeshore
- Family Medicine Physician
- Bothell, WA
- NPI 1659814762
-
dba Evergreen Sleep Disorders Clinic
- Internal Medicine Physician
- Kirkland, WA
- NPI 1750482949
-
dba Booth Gardner Parkinsons Care Center
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
dba Evergreen Healthcare OB Hospitalists
- Obstetrics Physician
- Kirkland, WA
- NPI 1891883435
-
dba EvergreenHealth Lakeshore Totem Lake
- Family Medicine Physician
- Kirkland, WA
- NPI 1922540004
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182124800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202688000000",
"number": "1851596258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11610",
"city": "TACOMA",
"state": "WA",
"postal_code": "984116610",
"telephone_number": "425-899-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "425-899-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PUBLIC HOSPITAL DISTRICT NO. 2",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PUBLIC HOSPITAL DISTRICT NO. 2",
"enumeration_date": "2007-06-18",
"last_updated": "2008-02-11",
"status": "A",
"authorized_official_last_name": "YAMADA",
"authorized_official_first_name": "CHRISSY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "425-899-2600"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WA STATE L&I 1500S ONLY",
"identifier": "0025691",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EHMC Professional",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kirkland, WA
- Public Hospital District No 2 of King County (Evergreen Professional Center Pharmacy)
- Public Hospital District No. 2 (Evergreen Healthcare)
- Public Hospital District No. 2 (Evergreen Healthcare)
- Public Hospital District No. 2 (Evergreen Hospital Medical Center)
- Public Hospital District No. 2 (EvergreenHealth Heart & Vascular Care)
- Public Hospital District No. 2 (Evergreen Lab Svcs)
- Public Hosptial District No 2 (Evergreen Medical Group)
- Puget Sound Gastroenterology, PLLC (Puget Sound Gastroenterology at Kirkland)
- Puget Sound Gastroenterology, PLLC (Evergreen Endoscopy Center)
- Puget Sound Gastroenterology, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.