NPIMap

Organization Active NPI

Careplus Medical Centers, Inc

Doing business as Care Plus Medical Center

  • Family Medicine Physician
  • Shoreline, WA
National Provider Identifier
1902885635
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00014966 Issued in WA
Legal business name
CAREPLUS MEDICAL CENTERS, INC
Doing business as
Care Plus Medical Center
Practice address
14731 Aurora Ave N
Shoreline, WA 98133-6547
Phone
(206) 365-0220
Fax
(206) 365-6436
NPI assigned
Jan 11, 2006
Last updated
Jan 26, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
CAREPLUS MEDICAL CENTERS, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Authorized official

Name
Jerilee Mann
Title
Clinic Manager
Phone
(206) 365-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00014966 WA Primary

Addresses

Primary practice location

14731 Aurora Ave N
Shoreline, WA 98133-6547

Mailing address

14731 Aurora Ave N
Shoreline, WA 98133-6547
Phone (206) 365-0220

Other identifiers 1

IdentifierTypeStateIssuer
7066608MedicaidWA

Other names 1

  • Care Plus Medical Center Doing business as

National Provider Directory

National Provider Directory
Part of
Careplus Medical Cntrs Inc

Locations

17511 68th Ave NE
#C
Kenmore, WA 98028
Phone (425) 486-8300

14731 Aurora Ave N
Shoreline, WA 98133
Phone (206) 365-0220

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296000000000",
    "number": "1902885635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14731 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336547",
            "telephone_number": "206-365-0220",
            "fax_number": "206-365-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14731 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336547",
            "telephone_number": "206-365-0220",
            "fax_number": "206-365-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPLUS MEDICAL CENTERS, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREPLUS MEDICAL CENTERS, INC",
        "enumeration_date": "2006-01-11",
        "last_updated": "2011-01-26",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JERILEE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "206-365-0220"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00014966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7066608",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Plus Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2011; 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.