| Molina Healthcare Of Washington, Inc | |
|
3322 Broadway, Suite 200 Everett WA 98201-4425 | |
| (562) 499-6191 | |
| (562) 499-6171 |
| Full Name | Molina Healthcare Of Washington, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 3322 Broadway,, Everett, Washington |
| Authorized Official Name and Position | Gloria Calderon (VP CLINIC OPERATIONS) |
| Authorized Official Contact | 5624996191 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Molina Healthcare Of Washington, Inc 200 Oceangate, Suite 100 Long Beach CA 90802-4317 Ph: (562) 499-6191 | Molina Healthcare Of Washington, Inc 3322 Broadway, Suite 200 Everett WA 98201-4425 Ph: (562) 499-6191 |
| NPI Number | 1912235060 |
|---|---|
| Provider Enumeration Date | 12/01/2009 |
| Last Update Date | 09/27/2011 |
| Medicare PECOS PAC ID | 1850427527 |
|---|---|
| Medicare Enrollment ID | O20100405000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912235060 | NPI | - | NPPES |
| 2005288 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Susan A Baerg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255376596 PECOS PAC ID: 4183728470 Enrollment ID: I20070326000450 |
| Provider Name | Wendy C Imberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578664132 PECOS PAC ID: 0749344869 Enrollment ID: I20090204000019 |
| Provider Name | Arlene Maria Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982875035 PECOS PAC ID: 8921291121 Enrollment ID: I20101020000815 |
| Provider Name | Carina C Hopen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437139417 PECOS PAC ID: 6305026345 Enrollment ID: I20110209000309 |
| Provider Name | Gwendolyn Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821393083 PECOS PAC ID: 0446430334 Enrollment ID: I20110209001058 |
| Provider Name | Michele Gunderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851694673 PECOS PAC ID: 4587818570 Enrollment ID: I20130128000408 |
| Provider Name | Francisco Banez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275972655 PECOS PAC ID: 3476742834 Enrollment ID: I20130905000488 |
| Provider Name | Nichole B Roller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780004473 PECOS PAC ID: 3173741956 Enrollment ID: I20140820002877 |
| Provider Name | Calperna C Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204742 PECOS PAC ID: 2668694043 Enrollment ID: I20141119002622 |
| Provider Name | Kaari Maurelle Corbridge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255889044 PECOS PAC ID: 0941588362 Enrollment ID: I20161104001461 |
| Provider Name | Carmen C. Bowie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215485321 PECOS PAC ID: 5890083737 Enrollment ID: I20170222001599 |
| Provider Name | Savanna L Griffith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740694934 PECOS PAC ID: 1759507734 Enrollment ID: I20171013001703 |
| Provider Name | Shahriyar A Leilabadi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710062245 PECOS PAC ID: 1153427976 Enrollment ID: I20171110001109 |
| Provider Name | Anna L Timbol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023496668 PECOS PAC ID: 4880902832 Enrollment ID: I20171211001066 |
| Provider Name | Molly C Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457861114 PECOS PAC ID: 1456610518 Enrollment ID: I20180117001881 |
| Provider Name | Emily C Wong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861820425 PECOS PAC ID: 9436410396 Enrollment ID: I20180312000026 |
| Provider Name | Shanna Marie Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144625542 PECOS PAC ID: 7810212248 Enrollment ID: I20181025001817 |
| Provider Name | Lucy Wanjiru Chege |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336511575 PECOS PAC ID: 3779822754 Enrollment ID: I20190308002640 |
| Provider Name | Binisha Shrestha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235658618 PECOS PAC ID: 5092048520 Enrollment ID: I20190614000817 |
| Provider Name | Amanda B Ginovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760737027 PECOS PAC ID: 7315194628 Enrollment ID: I20190826002328 |
| Provider Name | Linnea Hope Deluna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235600651 PECOS PAC ID: 5092044263 Enrollment ID: I20190912003553 |
| Provider Name | Titus Koipaton Sairo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528510898 PECOS PAC ID: 9739512898 Enrollment ID: I20191203001471 |
| Provider Name | Stephanie Ann Sanderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205477361 PECOS PAC ID: 2567895501 Enrollment ID: I20191205002765 |
| Provider Name | Toe Kyaw Zaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174174247 PECOS PAC ID: 3274968623 Enrollment ID: I20200114000946 |
| Provider Name | Muna I Osman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578031266 PECOS PAC ID: 0840627451 Enrollment ID: I20200220001197 |
| Provider Name | Lourdes Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326301094 PECOS PAC ID: 2567769961 Enrollment ID: I20200311000905 |
| Provider Name | Jacinta Chinazor Maghiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578123824 PECOS PAC ID: 9830527910 Enrollment ID: I20200324001890 |
| Provider Name | Andrea Lynn Day |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669747473 PECOS PAC ID: 0547699423 Enrollment ID: I20200327001514 |
| Provider Name | Liliana Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447571146 PECOS PAC ID: 2163694613 Enrollment ID: I20200625001280 |
| Provider Name | Angelica Orozco Kominsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427696236 PECOS PAC ID: 3375961535 Enrollment ID: I20200921000972 |
| Provider Name | Michelle Heinrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861823049 PECOS PAC ID: 3678992179 Enrollment ID: I20201002000566 |
| Provider Name | Andy Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063910933 PECOS PAC ID: 4789946203 Enrollment ID: I20201119001946 |
| Provider Name | Richard Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215491915 PECOS PAC ID: 6800126491 Enrollment ID: I20201124000404 |
| Provider Name | Dianna L. Baca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740832401 PECOS PAC ID: 3476880915 Enrollment ID: I20201208003320 |
| Provider Name | Julie J Mann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255722484 PECOS PAC ID: 8527389253 Enrollment ID: I20201215001688 |
| Provider Name | Shana S Oroark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093903270 PECOS PAC ID: 3678657871 Enrollment ID: I20201223002582 |
| Provider Name | Gabriela Ivette Flores Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124525076 PECOS PAC ID: 0446581730 Enrollment ID: I20201230001481 |
| Provider Name | Monique Spears |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952945438 PECOS PAC ID: 3173955234 Enrollment ID: I20210107001079 |
| Provider Name | Samuel Hally |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982210795 PECOS PAC ID: 7012329386 Enrollment ID: I20210209002747 |
| Provider Name | Christina L Broughton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699273375 PECOS PAC ID: 2567724008 Enrollment ID: I20210211003351 |
| Provider Name | Mary Elleinne Felix Valentin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588264287 PECOS PAC ID: 2860807153 Enrollment ID: I20210218002518 |
| Provider Name | Justen T Durr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558911719 PECOS PAC ID: 6406280288 Enrollment ID: I20210315002453 |
| Provider Name | Amanda Spayde-baker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760054845 PECOS PAC ID: 6608279716 Enrollment ID: I20210727003646 |
| Provider Name | Jessica Lynn Day |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588896773 PECOS PAC ID: 2264837319 Enrollment ID: I20210827000260 |
| Provider Name | Jocelynne Mchenry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982288783 PECOS PAC ID: 9234538430 Enrollment ID: I20210916002377 |
| Provider Name | Tera Riddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437683174 PECOS PAC ID: 2860896610 Enrollment ID: I20211014002240 |
| Provider Name | Malgorzata J. Kostrzewa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073180014 PECOS PAC ID: 8628466331 Enrollment ID: I20211029002018 |
| Provider Name | Christopher Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730799214 PECOS PAC ID: 7214354190 Enrollment ID: I20211103002828 |
| Provider Name | Mahogany Ababa Ayele |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902120421 PECOS PAC ID: 5294928099 Enrollment ID: I20211123001771 |
| Provider Name | Nakiel Horsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881273951 PECOS PAC ID: 5193122315 Enrollment ID: I20211123003096 |
| Provider Name | Tamara Renae Cheek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144847328 PECOS PAC ID: 7113337940 Enrollment ID: I20211130001687 |
| Provider Name | Valerie Jean Welker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447446117 PECOS PAC ID: 3577651652 Enrollment ID: I20211201002571 |
| Provider Name | Louise Usher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851693840 PECOS PAC ID: 4587069729 Enrollment ID: I20211203001375 |
| Provider Name | Emily Bishop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831747492 PECOS PAC ID: 3971833021 Enrollment ID: I20211203001977 |
| Provider Name | Connie A Robledo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932617156 PECOS PAC ID: 0345501664 Enrollment ID: I20211203002426 |
| Provider Name | Amanda Sue Barker-hingey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063170512 PECOS PAC ID: 2769872399 Enrollment ID: I20211214000840 |
| Provider Name | Edgar Benitez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184391112 PECOS PAC ID: 3375941859 Enrollment ID: I20220114001345 |
| Provider Name | Heather L King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164895371 PECOS PAC ID: 3274821525 Enrollment ID: I20220121002420 |
| Provider Name | Chiugo Sandra Okonkwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093300600 PECOS PAC ID: 9335540368 Enrollment ID: I20220208002204 |
| Provider Name | Annette A Shepherd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417441130 PECOS PAC ID: 6800130576 Enrollment ID: I20220216002684 |
| Provider Name | Jackline W Munene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184396194 PECOS PAC ID: 7214321629 Enrollment ID: I20220301001825 |
| Provider Name | Shawna Moyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861088742 PECOS PAC ID: 5294140190 Enrollment ID: I20220404002114 |
| Provider Name | Cathleen E Shaffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720587561 PECOS PAC ID: 4880936111 Enrollment ID: I20220407000037 |
| Provider Name | Salome M Basebang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346738010 PECOS PAC ID: 7517384738 Enrollment ID: I20220407002448 |
| Provider Name | Patricia Hasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497346928 PECOS PAC ID: 0749695278 Enrollment ID: I20220413002226 |
| Provider Name | Paula J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952757858 PECOS PAC ID: 7719382167 Enrollment ID: I20220415000432 |
| Provider Name | Solmaz Mohaddes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538815436 PECOS PAC ID: 0143617084 Enrollment ID: I20220425001094 |
| Provider Name | Maribel Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497736193 PECOS PAC ID: 7113024050 Enrollment ID: I20220427000987 |
| Provider Name | Lynda Aduba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407393903 PECOS PAC ID: 6507141801 Enrollment ID: I20220428002640 |
| Provider Name | Donna Marie Lodge Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154609295 PECOS PAC ID: 4789849670 Enrollment ID: I20220513000226 |
| Provider Name | Hannah Gibbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649889932 PECOS PAC ID: 6406272764 Enrollment ID: I20220524001171 |
| Provider Name | Adelle Keller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619586195 PECOS PAC ID: 5991122764 Enrollment ID: I20220524002992 |
| Provider Name | Jerryl Mcgowan Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437819513 PECOS PAC ID: 8426438375 Enrollment ID: I20220708002638 |
| Provider Name | Georgina Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275090698 PECOS PAC ID: 8325379241 Enrollment ID: I20220721002016 |
| Provider Name | Linda Leiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801362140 PECOS PAC ID: 9234461468 Enrollment ID: I20220725002912 |
| Provider Name | Lori Brikmanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821535709 PECOS PAC ID: 7214345784 Enrollment ID: I20220804001876 |
| Provider Name | Claudia Claudio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588307102 PECOS PAC ID: 1052798907 Enrollment ID: I20220810003764 |
| Provider Name | Sonia Laster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962930826 PECOS PAC ID: 3274802426 Enrollment ID: I20220812000231 |
| Provider Name | Jennifer Lynn Sayles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316678352 PECOS PAC ID: 4789068669 Enrollment ID: I20220825003112 |
| Provider Name | Jeanette M Steiner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801523279 PECOS PAC ID: 3678957842 Enrollment ID: I20220907002630 |
| Provider Name | Enestine Tasong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952642134 PECOS PAC ID: 4183956246 Enrollment ID: I20220908003374 |
| Provider Name | Staci M Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548999063 PECOS PAC ID: 2860875333 Enrollment ID: I20221018002818 |
| Provider Name | Mariana Isabel Pelaez Cardozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972080141 PECOS PAC ID: 6507275286 Enrollment ID: I20221108001672 |
| Provider Name | Deepa Baral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457917403 PECOS PAC ID: 7315351822 Enrollment ID: I20221118001525 |
| Provider Name | Bernetta Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619487303 PECOS PAC ID: 5799024246 Enrollment ID: I20230116000073 |
| Provider Name | Anne Marie Fombu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245828383 PECOS PAC ID: 2769853852 Enrollment ID: I20230127002508 |
| Provider Name | Andrietta Wright Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043648140 PECOS PAC ID: 4385875673 Enrollment ID: I20230223002107 |
| Provider Name | Ciara Nichole Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497460679 PECOS PAC ID: 3476919861 Enrollment ID: I20230509001739 |
| Provider Name | Leah Stallworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003138314 PECOS PAC ID: 4486034048 Enrollment ID: I20230517003284 |
| Provider Name | Natalie Rose Bailey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730880196 PECOS PAC ID: 8224495403 Enrollment ID: I20230602000446 |
| Provider Name | May Dee Gemilo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639645674 PECOS PAC ID: 8022475227 Enrollment ID: I20230602001159 |
| Provider Name | Linda Kyong Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780373746 PECOS PAC ID: 1153781661 Enrollment ID: I20230715000700 |
| Provider Name | Ethan Gager |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528618121 PECOS PAC ID: 6800228685 Enrollment ID: I20230921002217 |
| Provider Name | Lauren Christine Kenny-link |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629852348 PECOS PAC ID: 2365896339 Enrollment ID: I20230925001557 |
| Provider Name | Keyonna Porter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891159794 PECOS PAC ID: 1951693068 Enrollment ID: I20230925003690 |
| Provider Name | Stephanie Ann Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851078125 PECOS PAC ID: 1951755826 Enrollment ID: I20230926002637 |
| Provider Name | Ebony Penn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477137693 PECOS PAC ID: 7911373428 Enrollment ID: I20231010000764 |
| Provider Name | Michelle Michael |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013488816 PECOS PAC ID: 0749676385 Enrollment ID: I20231010000936 |
| Provider Name | Sheila Bonner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922307099 PECOS PAC ID: 0244667954 Enrollment ID: I20231010001706 |
| Provider Name | Amber Mchenry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295428654 PECOS PAC ID: 8527427046 Enrollment ID: I20231010003732 |
| Provider Name | Amber Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861187817 PECOS PAC ID: 4587025986 Enrollment ID: I20231016001283 |
| Provider Name | Carmen Snypp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689285017 PECOS PAC ID: 8325494594 Enrollment ID: I20231024002136 |
| Provider Name | Kamsey Shawna Cubarrubias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639858764 PECOS PAC ID: 7719349869 Enrollment ID: I20231030002284 |
| Provider Name | Kellianne Marie Jennings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184403941 PECOS PAC ID: 7416303227 Enrollment ID: I20231031002308 |
| Provider Name | Janice Gallegos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609577469 PECOS PAC ID: 0941674345 Enrollment ID: I20231101002373 |
| Provider Name | Krystal Mcgrady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588352074 PECOS PAC ID: 7517322928 Enrollment ID: I20231103001018 |
| Provider Name | Carrie Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194046979 PECOS PAC ID: 2062646789 Enrollment ID: I20231103001626 |
| Provider Name | Todd Wilcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952913485 PECOS PAC ID: 7810307113 Enrollment ID: I20231112000082 |
| Provider Name | Jenna Kathryn Hage |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366172801 PECOS PAC ID: 8426438185 Enrollment ID: I20231115000652 |
| Provider Name | Lucinda Rau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326315987 PECOS PAC ID: 6709030414 Enrollment ID: I20231219003848 |
| Provider Name | Nachell Escobedo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225548886 PECOS PAC ID: 8325306798 Enrollment ID: I20231221001516 |
| Provider Name | Lisa Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336793298 PECOS PAC ID: 7719311620 Enrollment ID: I20231222001896 |
| Provider Name | Chekita Haley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134870470 PECOS PAC ID: 9335513845 Enrollment ID: I20240104003937 |
| Provider Name | Jodi Subcliff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316652621 PECOS PAC ID: 1456725464 Enrollment ID: I20240116002128 |
| Provider Name | Debra Ann Lindsay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689032377 PECOS PAC ID: 6800248873 Enrollment ID: I20240116002713 |
| Provider Name | Mikhail Murashkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811582687 PECOS PAC ID: 6305298928 Enrollment ID: I20240119000992 |
| Provider Name | Ozoemenam Vivian Olawuyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760252696 PECOS PAC ID: 5799138046 Enrollment ID: I20240202000740 |
| Provider Name | Corretha Ingram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952037731 PECOS PAC ID: 5395100440 Enrollment ID: I20240202001209 |
| Provider Name | Kailyn Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225789456 PECOS PAC ID: 4385087626 Enrollment ID: I20240203000247 |
| Provider Name | Tirsit Abiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306526041 PECOS PAC ID: 7719348077 Enrollment ID: I20240205002533 |
| Provider Name | Sarah Faith Hubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891564605 PECOS PAC ID: 1052754017 Enrollment ID: I20240206003787 |
| Provider Name | Lori Welch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366113979 PECOS PAC ID: 9739579772 Enrollment ID: I20240221001656 |
| Provider Name | Teressa Powers-fenton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932503612 PECOS PAC ID: 0446536338 Enrollment ID: I20240303000028 |
| Provider Name | Amy Turley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750874384 PECOS PAC ID: 3678821915 Enrollment ID: I20240405001027 |
| Provider Name | Joyce Hayden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912520040 PECOS PAC ID: 5890116792 Enrollment ID: I20240412002383 |
| Provider Name | Dana Marie Oswald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265293658 PECOS PAC ID: 3375982119 Enrollment ID: I20240412003307 |
| Provider Name | Jude Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073291258 PECOS PAC ID: 9335503234 Enrollment ID: I20240419002952 |
| Provider Name | Ebony K Walker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922604727 PECOS PAC ID: 4981000619 Enrollment ID: I20240423003527 |
| Provider Name | Alexis Jeffreys |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023523222 PECOS PAC ID: 0345615613 Enrollment ID: I20240424003051 |
| Provider Name | Mubangu Mandamuna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588333033 PECOS PAC ID: 4183095144 Enrollment ID: I20240430001248 |
| Provider Name | Lisa Nannie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417962937 PECOS PAC ID: 9638115322 Enrollment ID: I20240515003157 |
| Provider Name | Jhune Pearl Aguilar Del Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699522870 PECOS PAC ID: 6305288580 Enrollment ID: I20240521001029 |
| Provider Name | Lauren Sabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467001214 PECOS PAC ID: 8325378904 Enrollment ID: I20240611001922 |
| Provider Name | Rachel Noelle Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285475681 PECOS PAC ID: 4082157425 Enrollment ID: I20240613003583 |
| Provider Name | Alexis Stephanie Schubert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497408348 PECOS PAC ID: 5294196911 Enrollment ID: I20240703001346 |
| Provider Name | Lilia Corral |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639546294 PECOS PAC ID: 7719288851 Enrollment ID: I20240705000780 |
| Provider Name | April Marie Nation Hamilton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053022269 PECOS PAC ID: 8820460561 Enrollment ID: I20240705001794 |
| Provider Name | Aliya Ferozali Lakhani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821596503 PECOS PAC ID: 1456613785 Enrollment ID: I20240912001063 |
| Provider Name | Janice Frerichs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932740305 PECOS PAC ID: 5698107126 Enrollment ID: I20240918001539 |
| Provider Name | Elizabeth Franklin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003308347 PECOS PAC ID: 4880948645 Enrollment ID: I20240924004443 |
| Provider Name | Robyn Roche-paull |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144704743 PECOS PAC ID: 6204367477 Enrollment ID: I20240930002464 |
| Provider Name | Rebecca Gaylie Moreno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942987102 PECOS PAC ID: 4587195466 Enrollment ID: I20241002002798 |
| Provider Name | Christina Ahme |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851004766 PECOS PAC ID: 3779957451 Enrollment ID: I20241007000967 |
| Provider Name | Olumide Adeyemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700335924 PECOS PAC ID: 6901194281 Enrollment ID: I20241008003247 |
| Provider Name | Elsa M Casiano Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497414536 PECOS PAC ID: 6002208980 Enrollment ID: I20241016004406 |
| Provider Name | Janine Larry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164971131 PECOS PAC ID: 8325317621 Enrollment ID: I20241021001043 |
| Provider Name | Whitney Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669710984 PECOS PAC ID: 5092949719 Enrollment ID: I20241021001947 |
| Provider Name | Sarita Arora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003381344 PECOS PAC ID: 0244643617 Enrollment ID: I20241024001412 |
| Provider Name | Andrea Polo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093393951 PECOS PAC ID: 1557762978 Enrollment ID: I20241025002387 |
| Provider Name | Pratibha Nigam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750663993 PECOS PAC ID: 5395120224 Enrollment ID: I20241220001224 |
| Provider Name | Leslie Holman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518775659 PECOS PAC ID: 3173050325 Enrollment ID: I20241230000835 |
| Provider Name | Bianca Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083129779 PECOS PAC ID: 2668716747 Enrollment ID: I20250214002082 |
| Provider Name | Schayla Rinker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578280228 PECOS PAC ID: 6800318718 Enrollment ID: I20250320001887 |
| Provider Name | Zhandra Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528217346 PECOS PAC ID: 9931264603 Enrollment ID: I20250516003032 |
| Provider Name | Awa Ndiaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629516711 PECOS PAC ID: 2163840976 Enrollment ID: I20250602002260 |
| Provider Name | Takesha Essex |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972984870 PECOS PAC ID: 5193037695 Enrollment ID: I20250606001476 |
Providence Health & Services - Washington 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 Washington Medical Group, Inc Ps 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 Wa Pc 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: Not Enrolled in Medicare Practice Location: 801 E Casino Rd, Everett, WA 98203 Phone: 425-789-3700 | |
Community Health Center Of Snohomish County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5929 Evergreen Way, Everett, WA 98203 Phone: 425-789-3700 Fax: 425-789-3754 | |
Joseph M Molina Md Professional Corporation-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 | |
Kidney And Arthritis Clinic P S Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3218 Nassau St, Everett, WA 98201 Phone: 425-259-9225 Fax: 425-339-3381 |