Northshore Senior Center

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

NORTHSHORE SENIOR CENTER

Practice address

10212 E Riverside Dr
Bothell, WA 98011-3709

Phone

(425) 488-4821

Fax

(425) 483-3001

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Judi Pirone

Title

Program Manager

Phone

(425) 286-1037

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466726400000",
    "number": "1881045409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10212 E RIVERSIDE DR",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113709",
            "telephone_number": "425-488-4821",
            "fax_number": "425-483-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 E RIVERSIDE DR",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980113709",
            "telephone_number": "425-488-4821",
            "fax_number": "425-483-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE SENIOR CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2016-06-24",
        "status": "A",
        "authorized_official_last_name": "PIRONE",
        "authorized_official_first_name": "JUDI",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "425-286-1037"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1027438",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Northshore Dental Center LLC
• Northshore Family Practice PLLC
• Northshore Health PLLC
• Northshore Physical Therapy
• Northshore School District
• Northshore Youth and Family Services
• Northstore Youth & Family SVCS
• Northwest Foot and Ankle Specialists, LLC
• Northwest Functional Nutrition, LLC
• Northwest Holistic Therapies, P.S.

• Health Service Clinic/Center in Bothell, WA
• Providers in Bothell, WA by specialty
• Health Service Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2016; 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.