Northwest Neurodiagnostics, Inc

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Legal business name

NORTHWEST NEURODIAGNOSTICS, INC

Practice address

26603 SE 16TH CT
Sammamish, WA 98075-7947

Phone

(425) 557-8651

Fax

(425) 557-8642

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Shawn P Anderson, CNIM

Title

President

Phone

(425) 557-8651

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962620732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26603 SE 16TH CT",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757947",
            "telephone_number": "425-557-8651",
            "fax_number": "425-557-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26603 SE 16TH CT",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980757947",
            "telephone_number": "425-557-8651",
            "fax_number": "425-557-8642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST NEURODIAGNOSTICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-557-8651",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNIM"
    },
    "taxonomies": [
        {
            "code": "246ZE0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kim NG, O.D.
• Jane Ngoc Nguyen, CTNC, CPA
• Megan D Niimi, PTA
• Shale Melissa Ninneman, DDS
• Brett Van Norman, D.C.
• Ian O'Neill
• Occhio Optometry PLLC
• Gregory Y Ogata, D.D.S., M.S.
• Emily Verbon Olson, RN
• Casey Oman, PA-C

• Electroneurodiagnostic Specialist/Technologist in Sammamish, WA
• Providers in Sammamish, WA by specialty
• Electroneurodiagnostic Specialist/Technologist in Washington

• 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.