Organization Active NPI

Serena M. Barcha, Inc.

  • Preferred Provider Organization
  • Lake Stevens, WA
National Provider Identifier
1962547729
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
MA00006941 Issued in WA
Legal business name
SERENA M. BARCHA, INC.
Practice address
619 97TH Ave SE
Lake Stevens, WA 98258-3910
Phone
(425) 232-8854
Fax
(425) 335-4328
NPI assigned
Feb 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Serena Mae Barcha, LMP
Title
Pres.
Phone
(425) 232-8854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X MA00006941 WA Primary

Addresses

Primary practice location

619 97TH Ave SE
Lake Stevens, WA 98258-3910

Mailing address

619 97TH Ave SE
Lake Stevens, WA 98258-3910
Phone (425) 232-8854

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962547729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 97TH AVE SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583910",
            "telephone_number": "425-232-8854",
            "fax_number": "425-335-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 97TH AVE SE",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982583910",
            "telephone_number": "425-232-8854",
            "fax_number": "425-335-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENA M. BARCHA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARCHA",
        "authorized_official_first_name": "SERENA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "425-232-8854",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMP"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "WA",
            "license": "MA00006941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Stevens, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.