| Chc of Snohomish County | |
|
8609 Evergreen Way Everett WA 98208-2619 | |
| (425) 789-1000 | |
| (425) 789-3750 |
| Full Name | Chc of Snohomish County |
|---|---|
| Speciality | Clinic/Center |
| Location | 8609 Evergreen Way, Everett, Washington |
| Authorized Official Name and Position | Robert C Farrell (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4257893700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chc of Snohomish County 8609 Evergreen Way Everett WA 98208-2619 Ph: (425) 789-3700 | Chc of Snohomish County 8609 Evergreen Way Everett WA 98208-2619 Ph: (425) 789-1000 |
| NPI Number | 1730136367 |
|---|---|
| Provider Enumeration Date | 05/28/2006 |
| Last Update Date | 03/25/2016 |
| Medicare PECOS PAC ID | 0446152003 |
|---|---|
| Medicare Enrollment ID | O20040123000395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730136367 | NPI | - | NPPES |
| 1017523 | Medicaid | WA | |
| 2001689 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 7034036 (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
| Provider Name | Varun M Jhaveri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851332522 PECOS PAC ID: 6305744392 Enrollment ID: I20031229000804 |
| Provider Name | Jennifer L Willcox |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306965546 PECOS PAC ID: 6709777931 Enrollment ID: I20040324001263 |
| Provider Name | Hillary K Liss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609952472 PECOS PAC ID: 4183516248 Enrollment ID: I20040325000876 |
| Provider Name | Veronica S Erhart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053344663 PECOS PAC ID: 6901896570 Enrollment ID: I20040514001177 |
| Provider Name | Pamela a Sheffield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659457307 PECOS PAC ID: 5294712568 Enrollment ID: I20040706000047 |
| Provider Name | Maria De Los Angeles Gutierrez Rivas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598817736 PECOS PAC ID: 4981662103 Enrollment ID: I20041220000987 |
| Provider Name | Johny K Lee |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598868218 PECOS PAC ID: 8224055587 Enrollment ID: I20051026001176 |
| Provider Name | Jaime G Yeverino-flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023054103 PECOS PAC ID: 5991725988 Enrollment ID: I20051206000500 |
| Provider Name | Christian D Herter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619160223 PECOS PAC ID: 0648292805 Enrollment ID: I20051230000658 |
| Provider Name | Chiyong Byun |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508974643 PECOS PAC ID: 5991711137 Enrollment ID: I20060227000176 |
| Provider Name | John R Stephens |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962470476 PECOS PAC ID: 8527952043 Enrollment ID: I20060503000210 |
| Provider Name | Paul R Halkett |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386681815 PECOS PAC ID: 4688686371 Enrollment ID: I20060621000078 |
| Provider Name | Steven a Grant |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801831896 PECOS PAC ID: 2466465851 Enrollment ID: I20060802000181 |
| Provider Name | Evelyn Dreyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003979410 PECOS PAC ID: 9133223159 Enrollment ID: I20070919000325 |
| Provider Name | Clarence J Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053307710 PECOS PAC ID: 0446330849 Enrollment ID: I20080110000017 |
| Provider Name | Mark a Hoover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154361335 PECOS PAC ID: 6305759168 Enrollment ID: I20080117000269 |
| Provider Name | Rizwana J Lott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992718464 PECOS PAC ID: 8224109905 Enrollment ID: I20080624000525 |
| Provider Name | Reena a Koshy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891963468 PECOS PAC ID: 9830263011 Enrollment ID: I20080806000313 |
| Provider Name | Rajasri D Palepu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568644607 PECOS PAC ID: 5294893269 Enrollment ID: I20081020000369 |
| Provider Name | Alexandra Popescu-vladimir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639353287 PECOS PAC ID: 4587724471 Enrollment ID: I20081121000571 |
| Provider Name | Yancey a Sloane |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760455745 PECOS PAC ID: 5890781793 Enrollment ID: I20081218000073 |
| Provider Name | Chiyang Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760474738 PECOS PAC ID: 0941350755 Enrollment ID: I20090616000455 |
| Provider Name | Nan-shing Hsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598731804 PECOS PAC ID: 8426109794 Enrollment ID: I20090626000001 |
| Provider Name | Carrie Lynn Kingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437483799 PECOS PAC ID: 2264579069 Enrollment ID: I20091028000121 |
| Provider Name | Margaret L Green |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1558586156 PECOS PAC ID: 6709926496 Enrollment ID: I20091210000123 |
| Provider Name | Andrew K Perry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114990975 PECOS PAC ID: 7012058829 Enrollment ID: I20091230000444 |
| Provider Name | Sheryl a Dreyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144298043 PECOS PAC ID: 5799679213 Enrollment ID: I20100211000676 |
| Provider Name | Tom M Tocher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568571289 PECOS PAC ID: 5991831661 Enrollment ID: I20100504000866 |
| Provider Name | James L Parker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649263161 PECOS PAC ID: 5395737589 Enrollment ID: I20100514000379 |
| Provider Name | Robert D Harrington |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912083718 PECOS PAC ID: 0941331581 Enrollment ID: I20100626000123 |
| Provider Name | Amy E Bishop |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871791103 PECOS PAC ID: 1052444627 Enrollment ID: I20100803000556 |
| Provider Name | Cynthia D Bader |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689828345 PECOS PAC ID: 9537285374 Enrollment ID: I20100929000554 |
| Provider Name | Alan O Haakenstad |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1659304558 PECOS PAC ID: 3971796921 Enrollment ID: I20101021001445 |
| Provider Name | Daniel R Goodman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205909082 PECOS PAC ID: 0446140586 Enrollment ID: I20101112000079 |
| Provider Name | Yvonne Q Ma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598753733 PECOS PAC ID: 2567642085 Enrollment ID: I20110215000798 |
| Provider Name | Kimberly L Collins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982869848 PECOS PAC ID: 1557531100 Enrollment ID: I20110908002314 |
| Provider Name | Tanya Bhatia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194984161 PECOS PAC ID: 0244304624 Enrollment ID: I20111207000136 |
| Provider Name | Vicki L Fox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548358187 PECOS PAC ID: 3375719651 Enrollment ID: I20120109000580 |
| Provider Name | Suzanne J Fiala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841373818 PECOS PAC ID: 4587826508 Enrollment ID: I20120508000450 |
| Provider Name | Lisa Marie Benton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487933545 PECOS PAC ID: 5799956744 Enrollment ID: I20120810000487 |
| Provider Name | Brian R Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609075969 PECOS PAC ID: 5698932531 Enrollment ID: I20120820000909 |
| Provider Name | James K Sherwood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194968446 PECOS PAC ID: 0446407738 Enrollment ID: I20120821000645 |
| Provider Name | Eleanor G Bly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265675508 PECOS PAC ID: 3577711001 Enrollment ID: I20120907000114 |
| Provider Name | Carmen Oprea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447489307 PECOS PAC ID: 8527218155 Enrollment ID: I20121017000321 |
| Provider Name | Douglas Mcmillen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093721508 PECOS PAC ID: 7618908708 Enrollment ID: I20121207000486 |
| Provider Name | Bryan Lee Blythe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366422602 PECOS PAC ID: 2860676525 Enrollment ID: I20130325000539 |
| Provider Name | Sergey R Kukhotsky |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972782514 PECOS PAC ID: 6204073539 Enrollment ID: I20130506000205 |
| Provider Name | Scott R Mcafee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255484630 PECOS PAC ID: 4880833458 Enrollment ID: I20130612000419 |
| Provider Name | Alex Harvey Kosloff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598722597 PECOS PAC ID: 9931127354 Enrollment ID: I20130717000542 |
| Provider Name | Matthew J Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982915534 PECOS PAC ID: 9739320011 Enrollment ID: I20130729001026 |
| Provider Name | Kiva C Fallgatter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588913289 PECOS PAC ID: 2567605405 Enrollment ID: I20130826000425 |
| Provider Name | Diem Phuong N Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053547232 PECOS PAC ID: 6800030149 Enrollment ID: I20130926000381 |
| Provider Name | Evelyn K Mercier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326166869 PECOS PAC ID: 0446480396 Enrollment ID: I20140220001479 |
| Provider Name | Heidi M Harper |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942554175 PECOS PAC ID: 7012161979 Enrollment ID: I20140311000559 |
| Provider Name | Ruth Ann Parish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1134293251 PECOS PAC ID: 8729218714 Enrollment ID: I20140314000153 |
| Provider Name | Ying Zhang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205126737 PECOS PAC ID: 5890918205 Enrollment ID: I20140603000540 |
| Provider Name | Cindy Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003232794 PECOS PAC ID: 5496979049 Enrollment ID: I20140623000120 |
| Provider Name | Shawn Marie Madziwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154737534 PECOS PAC ID: 7416175534 Enrollment ID: I20140902000871 |
| Provider Name | Mary Jean Cuaycong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457681918 PECOS PAC ID: 9739114455 Enrollment ID: I20140916001390 |
| Provider Name | Daniel W NG |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932441078 PECOS PAC ID: 6608013677 Enrollment ID: I20141203000039 |
| Provider Name | Stephanie D Benson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548676752 PECOS PAC ID: 0648592303 Enrollment ID: I20141208001203 |
| Provider Name | Sedigheh Dashtestani |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1215351911 PECOS PAC ID: 2769704147 Enrollment ID: I20141215001449 |
| Provider Name | Nancy L Foote |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912340381 PECOS PAC ID: 5395068084 Enrollment ID: I20150105001491 |
| Provider Name | Hanna M Filitovich |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457758054 PECOS PAC ID: 2860716248 Enrollment ID: I20150112001999 |
| Provider Name | Jessica B England |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801141486 PECOS PAC ID: 3870748973 Enrollment ID: I20150409000025 |
| Provider Name | Suzanne H Powell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285836783 PECOS PAC ID: 0840464285 Enrollment ID: I20150601002258 |
| Provider Name | Jehan Zeynep Budak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023384229 PECOS PAC ID: 3577880236 Enrollment ID: I20150603000261 |
| Provider Name | Esker M Arvanetes Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073625547 PECOS PAC ID: 6507024924 Enrollment ID: I20150629000221 |
| Provider Name | Jessica Cook |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568856458 PECOS PAC ID: 7911219936 Enrollment ID: I20150706001424 |
| Provider Name | Laura B Bovee |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1063787448 PECOS PAC ID: 3375867138 Enrollment ID: I20150727002843 |
| Provider Name | Jennifer L Wilson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1174906176 PECOS PAC ID: 5294041836 Enrollment ID: I20150827002589 |
| Provider Name | Michelle Renae Richards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114282787 PECOS PAC ID: 3870721723 Enrollment ID: I20150914003006 |
| Provider Name | Deeanna K Maughan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316207707 PECOS PAC ID: 0648411850 Enrollment ID: I20151014000355 |
| Provider Name | Julie B Foerster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073981775 PECOS PAC ID: 0648571273 Enrollment ID: I20151223001151 |
| Provider Name | Junhui Zou |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1477920833 PECOS PAC ID: 3476862574 Enrollment ID: I20160119001663 |
| Provider Name | Gabrielle J Douthitt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487751681 PECOS PAC ID: 4183927486 Enrollment ID: I20160120001680 |
| Provider Name | Erin E Van Nieulande |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376918078 PECOS PAC ID: 3072816065 Enrollment ID: I20160126000749 |
| Provider Name | Leslie M Gustafson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922405059 PECOS PAC ID: 5799096087 Enrollment ID: I20160203002320 |
| Provider Name | Lori B Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194973123 PECOS PAC ID: 9537291489 Enrollment ID: I20160406002408 |
| Provider Name | Eve Lake |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932542883 PECOS PAC ID: 8628398427 Enrollment ID: I20160727002802 |
| Provider Name | Dana Shuey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225407562 PECOS PAC ID: 5799085395 Enrollment ID: I20160926002219 |
| Provider Name | Kimberlie G Bishop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487901872 PECOS PAC ID: 4880981067 Enrollment ID: I20161003001804 |
| Provider Name | David Gordon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457410110 PECOS PAC ID: 2769506047 Enrollment ID: I20161020000932 |
| Provider Name | Jasanjot J Parmar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255772406 PECOS PAC ID: 9638457849 Enrollment ID: I20161021002148 |
| Provider Name | Simi Kohli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376972711 PECOS PAC ID: 6204115215 Enrollment ID: I20161115002198 |
| Provider Name | Andrew P Kokesh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497107122 PECOS PAC ID: 9335429869 Enrollment ID: I20161129001821 |
| Provider Name | Ilana Adina Simon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073966966 PECOS PAC ID: 3375824998 Enrollment ID: I20161219002478 |
| Provider Name | Amberly R Halbert |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346625977 PECOS PAC ID: 7214218833 Enrollment ID: I20161219002767 |
| Provider Name | Greg T Martinez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982640215 PECOS PAC ID: 8325005101 Enrollment ID: I20170403002503 |
| Provider Name | Aristotle Sun |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1821354069 PECOS PAC ID: 4284937731 Enrollment ID: I20170829003125 |
| Provider Name | Karen a Quaynor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407116593 PECOS PAC ID: 1052636792 Enrollment ID: I20170926001634 |
| Provider Name | Ahmed Marzouk |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1184093502 PECOS PAC ID: 1355620816 Enrollment ID: I20171031003432 |
| Provider Name | Steven C Cohen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487685731 PECOS PAC ID: 1153324538 Enrollment ID: I20171109001262 |
| Provider Name | Emily J Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699285494 PECOS PAC ID: 6002173168 Enrollment ID: I20171127003003 |
| Provider Name | Nathan J Merriam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497281281 PECOS PAC ID: 4880951730 Enrollment ID: I20171130001476 |
| Provider Name | Lamont Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518315472 PECOS PAC ID: 5092072785 Enrollment ID: I20171205003188 |
| Provider Name | Lavonne M Searle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679083232 PECOS PAC ID: 3870851918 Enrollment ID: I20171220000025 |
| Provider Name | Amy L Stevenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801300538 PECOS PAC ID: 1658631130 Enrollment ID: I20180131002636 |
| Provider Name | Emily C Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861820425 PECOS PAC ID: 9436410396 Enrollment ID: I20180312000026 |
| Provider Name | Kiran Bhandari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487035630 PECOS PAC ID: 0840594552 Enrollment ID: I20180717002114 |
| Provider Name | Adrienne E Shapiro |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1902175862 PECOS PAC ID: 6103137476 Enrollment ID: I20180720002559 |
| Provider Name | Emily L Hutchins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043725328 PECOS PAC ID: 3577812429 Enrollment ID: I20180825000238 |
| Provider Name | Ashlin E Mountjoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154715068 PECOS PAC ID: 6103134242 Enrollment ID: I20180919003393 |
| Provider Name | Aaron D Brinklow |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326434531 PECOS PAC ID: 4486906955 Enrollment ID: I20181010003494 |
| Provider Name | James M Abbey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447646039 PECOS PAC ID: 6305144577 Enrollment ID: I20181107002653 |
| Provider Name | Jinhee Binder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558842922 PECOS PAC ID: 1254675549 Enrollment ID: I20181127001223 |
| Provider Name | Jennifer K Nathans |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528543634 PECOS PAC ID: 8022352046 Enrollment ID: I20181203001290 |
| Provider Name | Quyen H Tran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104315167 PECOS PAC ID: 5597003517 Enrollment ID: I20190215001858 |
| Provider Name | Nusha G File |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386111896 PECOS PAC ID: 4880934108 Enrollment ID: I20190325001442 |
| Provider Name | Mark J Sanders |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376571620 PECOS PAC ID: 9133025505 Enrollment ID: I20190408001635 |
| Provider Name | Courtney Jankowski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063971455 PECOS PAC ID: 0446592505 Enrollment ID: I20190422001663 |
| Provider Name | Sarah Nicole Herrington |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386013647 PECOS PAC ID: 4284977240 Enrollment ID: I20190515002742 |
| Provider Name | Denise M Serfas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841644242 PECOS PAC ID: 1658614490 Enrollment ID: I20190520001811 |
| Provider Name | Brendan R Mcdonald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558855791 PECOS PAC ID: 5991031320 Enrollment ID: I20190723003474 |
| Provider Name | Lauren Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871058073 PECOS PAC ID: 1658609987 Enrollment ID: I20190826000767 |
| Provider Name | Elizabeth E Chaskey |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942779871 PECOS PAC ID: 9739418799 Enrollment ID: I20190917001731 |
| Provider Name | Ousman Jaiteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780237677 PECOS PAC ID: 8123358876 Enrollment ID: I20190924001677 |
| Provider Name | Lisa Shea Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578570743 PECOS PAC ID: 7719142876 Enrollment ID: I20191024001505 |
| Provider Name | Reginah I Nampinga |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104394097 PECOS PAC ID: 4183956964 Enrollment ID: I20191028002468 |
| Provider Name | Elise M Gelston |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427411834 PECOS PAC ID: 3678863933 Enrollment ID: I20191126002364 |
| Provider Name | Kim E Rodgers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750889168 PECOS PAC ID: 8729412911 Enrollment ID: I20191220001747 |
| Provider Name | Lucia Kwong |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1386050151 PECOS PAC ID: 3476987496 Enrollment ID: I20191230000989 |
| Provider Name | Amy W Johnson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1053639070 PECOS PAC ID: 0840588505 Enrollment ID: I20200131001358 |
| Provider Name | Kimberly J Warth |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497263438 PECOS PAC ID: 2567721756 Enrollment ID: I20200316001939 |
| Provider Name | Clint M Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427405034 PECOS PAC ID: 3779875968 Enrollment ID: I20200409001390 |
| Provider Name | Safa Fehri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104447598 PECOS PAC ID: 5395160741 Enrollment ID: I20200807000879 |
| Provider Name | Rachel Skalina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366861494 PECOS PAC ID: 1850667049 Enrollment ID: I20200807001341 |
| Provider Name | Joseph N Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295749729 PECOS PAC ID: 9133184575 Enrollment ID: I20200819004131 |
| Provider Name | Nithya Vasudevan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821418278 PECOS PAC ID: 5496172173 Enrollment ID: I20200826001219 |
| Provider Name | Jolie G Keenan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407236417 PECOS PAC ID: 4587934161 Enrollment ID: I20201006001116 |
| Provider Name | Gina Perez-baron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275703118 PECOS PAC ID: 3476699794 Enrollment ID: I20201029000443 |
| Provider Name | Derby S Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588278154 PECOS PAC ID: 9032522131 Enrollment ID: I20210111000668 |
| Provider Name | Melanie Hashagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871060053 PECOS PAC ID: 4880935667 Enrollment ID: I20210112002923 |
| Provider Name | Thomas Ing |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184070393 PECOS PAC ID: 0345654182 Enrollment ID: I20210205001965 |
| Provider Name | Kristy M Stevlingson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801402896 PECOS PAC ID: 1355756503 Enrollment ID: I20210219002011 |
| Provider Name | James P Hunter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1063623791 PECOS PAC ID: 6507273984 Enrollment ID: I20210331002258 |
| Provider Name | Samantha K Wilford |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1649858762 PECOS PAC ID: 1557770005 Enrollment ID: I20210512003223 |
| Provider Name | Mikaela a Guimaraes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396310835 PECOS PAC ID: 4981005196 Enrollment ID: I20210625000683 |
| Provider Name | Sarah a Gruber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639602030 PECOS PAC ID: 3577832781 Enrollment ID: I20210913003039 |
| Provider Name | Marisa E Gross |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376807503 PECOS PAC ID: 2567775984 Enrollment ID: I20210921001795 |
| Provider Name | Song Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568852317 PECOS PAC ID: 3779891973 Enrollment ID: I20211011001840 |
| Provider Name | Cynthia a Pereira |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871002113 PECOS PAC ID: 1254690688 Enrollment ID: I20211103003026 |
| Provider Name | Nicole E Wilkins |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366099301 PECOS PAC ID: 6002223922 Enrollment ID: I20211216003028 |
| Provider Name | Erika M Hase |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144833542 PECOS PAC ID: 4486045671 Enrollment ID: I20211223000021 |
| Provider Name | Jessica Laure Mcallister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205460656 PECOS PAC ID: 5496148629 Enrollment ID: I20220210000352 |
| Provider Name | Ellery Allonier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194302091 PECOS PAC ID: 6800289760 Enrollment ID: I20220217001035 |
| Provider Name | Julia Y Yi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033724968 PECOS PAC ID: 9739573122 Enrollment ID: I20220301001081 |
| Provider Name | Hannah Anderson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295398667 PECOS PAC ID: 4082099593 Enrollment ID: I20220920002561 |
| Provider Name | Jacqueline B Berglass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427611102 PECOS PAC ID: 8820323942 Enrollment ID: I20221116001260 |
| Provider Name | Robert N Malinak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619462520 PECOS PAC ID: 4981952116 Enrollment ID: I20221229001575 |
| Provider Name | Aarati Ghimire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053991950 PECOS PAC ID: 0941671317 Enrollment ID: I20230123000366 |
| Provider Name | Brianna L O'donaghue |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1982339289 PECOS PAC ID: 8022480714 Enrollment ID: I20230206002262 |
| Provider Name | Koichi a Kikushima |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326757212 PECOS PAC ID: 2466824776 Enrollment ID: I20230215001430 |
| Provider Name | Joanna P Stephens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134570088 PECOS PAC ID: 9032443247 Enrollment ID: I20230303000626 |
| Provider Name | Neil R Postier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033709712 PECOS PAC ID: 8325439946 Enrollment ID: I20230412000801 |
| Provider Name | Hannah Cenci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285335448 PECOS PAC ID: 2668839937 Enrollment ID: I20230531002648 |
| Provider Name | Jennifer a Davis |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1700420908 PECOS PAC ID: 5395102610 Enrollment ID: I20230601000714 |
| Provider Name | Nhi Lam |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821792839 PECOS PAC ID: 9436516614 Enrollment ID: I20230602000335 |
| Provider Name | Magdalena L Brooks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316138597 PECOS PAC ID: 5496814014 Enrollment ID: I20230628001747 |
| Provider Name | Aleza Matayoshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104962133 PECOS PAC ID: 1456414531 Enrollment ID: I20230711002642 |
| Provider Name | Jennings Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932552403 PECOS PAC ID: 3375809924 Enrollment ID: I20230711002902 |
| Provider Name | Cooper T Couch |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558993352 PECOS PAC ID: 6406269653 Enrollment ID: I20230712003592 |
| Provider Name | Anna S Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184259095 PECOS PAC ID: 7315375417 Enrollment ID: I20230830003890 |
| Provider Name | Karan Harkness |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982037636 PECOS PAC ID: 8527292036 Enrollment ID: I20230901003237 |
| Provider Name | Mallory R Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689354466 PECOS PAC ID: 8123482569 Enrollment ID: I20230918003856 |
| Provider Name | Yuemei Li |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1740892298 PECOS PAC ID: 2264888429 Enrollment ID: I20231024001543 |
| Provider Name | Katherine Elise Strandberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639708076 PECOS PAC ID: 0648626739 Enrollment ID: I20231025003243 |
| Provider Name | Amanda N Benjelloun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487335188 PECOS PAC ID: 3577919612 Enrollment ID: I20231026001685 |
| Provider Name | Heather a Morphy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912908294 PECOS PAC ID: 4385624030 Enrollment ID: I20231026001839 |
| Provider Name | Tracy Lee Baum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861437980 PECOS PAC ID: 9335225770 Enrollment ID: I20231107003111 |
| Provider Name | Anastasia S Bakulina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407464993 PECOS PAC ID: 5496166472 Enrollment ID: I20231107003450 |
| Provider Name | Tayler a Hentges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578245049 PECOS PAC ID: 7719335090 Enrollment ID: I20231127002799 |
| Provider Name | Ryan L Church |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972221638 PECOS PAC ID: 5496105355 Enrollment ID: I20231219002236 |
| Provider Name | Sumaira Dawari |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497473532 PECOS PAC ID: 6507216470 Enrollment ID: I20231219002652 |
| Provider Name | Bridget M Malato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184392664 PECOS PAC ID: 3173973955 Enrollment ID: I20231219003323 |
| Provider Name | Nicholas E Brideau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750994877 PECOS PAC ID: 0143670927 Enrollment ID: I20231219003456 |
| Provider Name | Gia L Frank |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043085293 PECOS PAC ID: 2062864200 Enrollment ID: I20240123003988 |
| Provider Name | Lynette Pang |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295892032 PECOS PAC ID: 4385097880 Enrollment ID: I20240131004662 |
| Provider Name | Heather R Jaynes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548363666 PECOS PAC ID: 2668817784 Enrollment ID: I20240228004043 |
| Provider Name | Rebecca a Stradling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275087256 PECOS PAC ID: 9234574203 Enrollment ID: I20240229001314 |
| Provider Name | Breauna L Berg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801274915 PECOS PAC ID: 0244675221 Enrollment ID: I20240229001669 |
| Provider Name | Deborah D Holland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982073029 PECOS PAC ID: 4789029778 Enrollment ID: I20240229002109 |
| Provider Name | Hengyu J CHI |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205357571 PECOS PAC ID: 5597100594 Enrollment ID: I20240229002213 |
| Provider Name | Arsema Andmicael |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1427776897 PECOS PAC ID: 1759727399 Enrollment ID: I20240306001240 |
| Provider Name | Danny K Machado |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568572683 PECOS PAC ID: 1052757259 Enrollment ID: I20240311001720 |
| Provider Name | Chrisanne Kuczmarski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093021925 PECOS PAC ID: 7315246915 Enrollment ID: I20240311002058 |
| Provider Name | Cecilia Sambou |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437928959 PECOS PAC ID: 0244676377 Enrollment ID: I20240312002391 |
| Provider Name | Aloria L Lanshaw |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1922861137 PECOS PAC ID: 5890132211 Enrollment ID: I20240321001072 |
| Provider Name | Teddy M Mumu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134744055 PECOS PAC ID: 8820437866 Enrollment ID: I20240423003256 |
| Provider Name | Nathan P Kerestes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023458676 PECOS PAC ID: 4789991852 Enrollment ID: I20240423003426 |
| Provider Name | Kayla Rene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720849979 PECOS PAC ID: 0648610832 Enrollment ID: I20240506000841 |
| Provider Name | Angela N Szatkowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1073953964 PECOS PAC ID: 4981992344 Enrollment ID: I20240507004263 |
| Provider Name | Lory P Bollig |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1902432735 PECOS PAC ID: 4587107636 Enrollment ID: I20240618002294 |
| Provider Name | Kathryn E Kalmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457819260 PECOS PAC ID: 0042753709 Enrollment ID: I20240621003537 |
| Provider Name | Molly M Rooney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467983320 PECOS PAC ID: 9537583356 Enrollment ID: I20240626002486 |
| Provider Name | Rachel E Clements |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598190217 PECOS PAC ID: 8224269873 Enrollment ID: I20240702000809 |
| Provider Name | Gurjot K Malhi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467973297 PECOS PAC ID: 8527316413 Enrollment ID: I20240702001036 |
| Provider Name | Bei He |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417341686 PECOS PAC ID: 7517275399 Enrollment ID: I20240918004664 |
| Provider Name | Zain Warriach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699345421 PECOS PAC ID: 3870034705 Enrollment ID: I20240919000689 |
| Provider Name | Danilo F Vilela |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225861438 PECOS PAC ID: 4082147061 Enrollment ID: I20241029003648 |
| Provider Name | Erika a Parayno |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265268486 PECOS PAC ID: 0749713642 Enrollment ID: I20241030004492 |
| Provider Name | Monica L Gillie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023697323 PECOS PAC ID: 5395285373 Enrollment ID: I20241124000025 |
| Provider Name | Darien Jourdaine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154941300 PECOS PAC ID: 2466826037 Enrollment ID: I20241125002081 |
| Provider Name | Johanna S Arce |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700415569 PECOS PAC ID: 9638605256 Enrollment ID: I20241205004295 |
| Provider Name | Thomas H Langstaff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366162604 PECOS PAC ID: 8123554623 Enrollment ID: I20241206003128 |
| Provider Name | David Michael |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083293559 PECOS PAC ID: 8426584640 Enrollment ID: I20241211003742 |
| Provider Name | Khajista Qazi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417904038 PECOS PAC ID: 9133015472 Enrollment ID: I20241211003847 |
| Provider Name | Athalie J Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275214777 PECOS PAC ID: 4486181401 Enrollment ID: I20250102001691 |
| Provider Name | Zachary M Ousley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1588470546 PECOS PAC ID: 7618407842 Enrollment ID: I20250204000336 |
| Provider Name | Elenora P Von |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720304561 PECOS PAC ID: 2769912153 Enrollment ID: I20250214001211 |
| Provider Name | Abbey H Barton |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700526688 PECOS PAC ID: 4688195738 Enrollment ID: I20250305004278 |
| Provider Name | Erin B Bishop |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073156048 PECOS PAC ID: 1052735537 Enrollment ID: I20250305004346 |
| Provider Name | Angela S Alfieri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447642418 PECOS PAC ID: 0648791178 Enrollment ID: I20250312002894 |
| Provider Name | Lamar R Wedderburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053802439 PECOS PAC ID: 9739430406 Enrollment ID: I20250501002583 |
| Provider Name | Gail M Boriel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720312176 PECOS PAC ID: 1254589963 Enrollment ID: I20250516000157 |
| Provider Name | Jennie Yen Vu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629822705 PECOS PAC ID: 0648799585 Enrollment ID: I20250523001235 |
| Provider Name | Kaitlin Huennekens |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104344928 PECOS PAC ID: 6406224112 Enrollment ID: I20250801003133 |
| Provider Name | Elliot R Willis-orlando |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1164288684 PECOS PAC ID: 6800334145 Enrollment ID: I20250820002564 |
| Provider Name | Rachel Ann Sarracco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1164213013 PECOS PAC ID: 2961904404 Enrollment ID: I20250904004294 |
| Provider Name | Jonathan K D Hiser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205585163 PECOS PAC ID: 1254821796 Enrollment ID: I20251104002804 |
| Provider Name | Natalie L Lays |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1457001539 PECOS PAC ID: 0042697344 Enrollment ID: I20251104003072 |
| Provider Name | Laurie J Goble Van Diest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326539099 PECOS PAC ID: 1759871411 Enrollment ID: I20251110003850 |
| Provider Name | Tala M Radejko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821669946 PECOS PAC ID: 5698163285 Enrollment ID: I20251219002396 |
| Provider Name | Erin L York Bannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265153142 PECOS PAC ID: 1658866223 Enrollment ID: I20251219003959 |
| Provider Name | Clare L Ghilarducci |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1962383893 PECOS PAC ID: 0345735767 Enrollment ID: I20251223000262 |
| Provider Name | Patricia D Pineda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487521209 PECOS PAC ID: 2163909854 Enrollment ID: I20260123002288 |
| Provider Name | Cesario a May Garcia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124446737 PECOS PAC ID: 7810391901 Enrollment ID: I20260225002526 |
| Provider Name | Sandhya E Venugopal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1073472908 PECOS PAC ID: 6406330125 Enrollment ID: I20260320001274 |
| Provider Name | Sarah L Carnegie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215534813 PECOS PAC ID: 7618442716 Enrollment ID: I20260407000587 |
| Provider Name | Megan a Robinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538535646 PECOS PAC ID: 9436626892 Enrollment ID: I20260423001328 |
| Provider Name | Ryan D Dillon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457226862 PECOS PAC ID: 8527536135 Enrollment ID: I20260501001303 |
| Provider Name | Kyla Gwyn P Dayag |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659189090 PECOS PAC ID: 0547731028 Enrollment ID: I20260605000095 |
| Provider Name | Brittany E Navin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245076389 PECOS PAC ID: 4981175460 Enrollment ID: I20260605000172 |
| Provider Name | Katherine a Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043747330 PECOS PAC ID: 7810468873 Enrollment ID: I20260610001497 |
Pmg NW Wa MC Walk in Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12800 Bothell Everett Hwy, Suite 120, Everett, WA 98208 Phone: 425-316-5150 Fax: 425-225-1006 |
Western Wa Medical Group, Inc. Dept of Gastroenterology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4225 Hoyt Ave Ste A, Everett, WA 98203 Phone: 425-259-3122 Fax: 425-252-9860 |
Vera Whole Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4933 Evergreen Way, Everett, WA 98203 Phone: 425-903-3070 Fax: 425-953-5768 |
Community Health Center of Snohomish County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 801 E Casino Rd, Everett, WA 98203 Phone: 425-789-3700 |
Fqhc Enhancement Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5929 Evergreen Way, Everett, WA 98203 Phone: 425-789-3700 Fax: 425-789-3754 |
Molina Medical Group of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3322 Broadway, Suite 200, Everett, WA 98201 Phone: 425-249-4922 Fax: 877-860-2284 |