| Pathway Geriatrics PLLC | |
|
8201 164th Ave Ne Ste 325 Redmond WA 98052-7615 | |
| (425) 818-5311 | |
| (425) 434-1755 |
| Full Name | Pathway Geriatrics PLLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 8201 164th Ave Ne Ste 325, Redmond, Washington |
| Authorized Official Name and Position | Stephanie R Johnson (OWNER) |
| Authorized Official Contact | 4258185311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathway Geriatrics PLLC 8201 164th Ave Ne Ste 325 Redmond WA 98052-7615 Ph: (425) 818-5311 | Pathway Geriatrics PLLC 8201 164th Ave Ne Ste 325 Redmond WA 98052-7615 Ph: (425) 818-5311 |
| NPI Number | 1154924207 |
|---|---|
| Provider Enumeration Date | 11/20/2020 |
| Last Update Date | 06/18/2026 |
| Certification Date | 06/18/2026 |
| Medicare PECOS PAC ID | 0547671125 |
|---|---|
| Medicare Enrollment ID | O20201203001165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154924207 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Elisa Richardson Lombard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780849935 PECOS PAC ID: 2163599218 Enrollment ID: I20080916000327 |
| Provider Name | Meghan H Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184942526 PECOS PAC ID: 2769516962 Enrollment ID: I20100810000331 |
| Provider Name | Stephanie R Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740557289 PECOS PAC ID: 4587831094 Enrollment ID: I20141217000168 |
| Provider Name | Sarah a Hamm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265880611 PECOS PAC ID: 9931497930 Enrollment ID: I20161006001565 |
| Provider Name | Jason Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275199663 PECOS PAC ID: 1759616204 Enrollment ID: I20230314002631 |
| Provider Name | Dena Nicole Kaufman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629814413 PECOS PAC ID: 6901343136 Enrollment ID: I20240805003827 |
| Provider Name | Amanda Cotarelo Cardenas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811678626 PECOS PAC ID: 4981145042 Enrollment ID: I20240917003675 |
| Provider Name | Sarah Ashley Madison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376207027 PECOS PAC ID: 0941739874 Enrollment ID: I20250122002437 |
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