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PACIFIC WELLNESS HOME VISIT LLC
NPI 1013767383
Nurse Practitioner - Primary Care in Snohomish, WA

Active since March 27, 2024CLIA 50D2320692 · Microscopy
108 UNION AVE, SNOHOMISH, WA 98290(206) 458-5983 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacific Wellness Home Visit Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACIFIC WELLNESS HOME VISIT LLC (NPI 1013767383) is a healthcare organization registered as a primary care in Snohomish, Washington and active in the NPI registry since March 2024. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Amare Melak Kassahun, Dnp,arnp, as its authorized official.

NPPES Registry Identity

NPI1013767383
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NamePACIFIC WELLNESS HOME VISIT LLC
Location Address108 UNION AVESnohomish, WA 98290-2971
Mailing Address108 Union AveSnohomish, WA 98290-2971 · (206) 458-5983
Phone(206) 458-5983
Organization SubpartNo
Authorized OfficialAmare Melak KassahunDnp,arnp · (206) 458-5983
Enumeration DateMarch 27, 2024
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
✔ NPI 1013767383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedNurse PractitionerTaxonomy 363L00000X
108 UNION AVE, Snohomish, WA 98290
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2320692

Pacific Wellness Home Visit LLC · Snohomish, WA
Active · expires Apr 4, 2028
CLIA Number50D2320692
Laboratory TypeHouse Calls
Certificate Effective DateMarch 21, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAmare Kassahun
Laboratory Phone(206) 458-5983
Laboratory LocationPacific Wellness Home Visit LLC108 Union Ave, Snohomish, WA 98290
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOVE WITH ME KIDS PT
Home Health
108 UNION AVE
SNOHOMISH, WA 98290
Snohomish County (360) 386-5059
MRS. KELLY A DANIELS MPT
Physical Therapist
108 UNION AVE
SNOHOMISH, WA 98290
Snohomish County (360) 386-5059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pacific Wellness Home Visit LLC's NPI number?

The NPI number for Pacific Wellness Home Visit LLC is 1013767383. It was assigned to this organization in the NPPES registry on March 27, 2024.

Where is Pacific Wellness Home Visit LLC located?

Pacific Wellness Home Visit LLC is located at 108 Union Ave, Snohomish, WA 98290. The listed phone number is (206) 458-5983.

What is Pacific Wellness Home Visit LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Pacific Wellness Home Visit LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2320692) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Wellness Home Visit LLC was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.