Active NPI
Swedish Edmonds
- Family Medicine Physician
- Edmonds, WA
National Provider Identifier
1861708281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SWEDISH EDMONDS
- Practice address
- 21911 76TH Ave W
Suite 110
Edmonds, WA 98026-7507 - Phone
- (425) 640-4950
- Fax
- (425) 640-4903
- NPI assigned
- Aug 23, 2010
- Organization subpart
- Yes
- Parent organization
- SWEDISH EDMONDS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Wayne Anderson Jr.
- Title
- Assistant Secreatry for Enrollment
- Phone
- (425) 358-9786
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
21911 76TH Ave W
Suite 110
Edmonds, WA 98026-7507
Mailing address
21911 76TH Ave W.
Suite 110
Edmonds, WA 98026-7507
Phone (425) 640-4950
Other names 1
- BIRTH AND FAMILY CLINIC
National Provider Directory
National Provider Directory- Part of
- Swedish Edmonds
Locations
21911 76th Ave W
Ste 204
Edmonds, WA 98026
Phone (425) 673-3380
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746662400000",
"number": "1861708281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21911 76TH AVE W.",
"address_2": "SUITE 110",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267507",
"telephone_number": "425-640-4950",
"fax_number": "425-640-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21911 76TH AVE W",
"address_2": "SUITE 110",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267507",
"telephone_number": "425-640-4950",
"fax_number": "425-640-4903"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SWEDISH EDMONDS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SWEDISH EDMONDS",
"enumeration_date": "2010-08-23",
"last_updated": "2025-05-08",
"certification_date": "2025-05-08",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "DONALD",
"authorized_official_middle_name": "WAYNE",
"authorized_official_title_or_position": "ASSISTANT SECREATRY FOR ENROLLMENT",
"authorized_official_telephone_number": "425-358-9786",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "BIRTH AND FAMILY CLINIC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.