Individual provider Active NPI

Anne C Anholm, MD

  • Obstetrics & Gynecology Physician
  • Everett, WA
National Provider Identifier
1902999402
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
28981 Issued in WA
Practice address
900 Pacific Suite 500
Everett, WA 98201
Phone
(425) 339-5430
NPI assigned
Oct 2, 2006
Last updated
Dec 9, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 28981 WA Primary

Addresses

Primary practice location

900 Pacific Suite 500
Everett, WA 98201

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 339-5430

Other identifiers 1

IdentifierTypeStateIssuer
1021943MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100211000702 WA Practitioner - Obstetrics/Gynecology 7113060294 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Washington School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

900 Pacific Ave
Everett, WA 98201-4168
Phone (425) 339-5430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
28981WAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC CurrentSince Sep 14, 1993 Accepting new patients
Optum Care Washington PLLC CurrentSince Sep 14, 1993 Accepting new patients
Optum Care Washington PLLC Current Accepting new patients
Obhg Washington, PC Obstetrics & Gynecology CurrentSince Jan 1, 2026 Accepting new patients
Optum Care Washington PLLC Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients

Locations

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1700 13th St
Everett, WA 98201
Phone (425) 252-0895

900 Pacific Ave
Everett, WA 98201
Phone (425) 258-7900

900 Pacific Ave
Ste 500
Everett, WA 98201
Phone (425) 339-5400

34515 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

Interoperability endpoints

  • Direct secure messaging: aanholm1271@direct.tecmc.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1902999402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-339-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PACIFIC SUITE 500",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "98201",
            "telephone_number": "425-339-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANHOLM",
        "first_name": "ANNE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "28981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1021943",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.