PROVIDENCE HEALTH & SERVICES-WA
NPI 1164673554
Nurse Practitioner in Everett, WA

Q: What is Providence Health & Services-Wa's NPI number?

The NPI number for Providence Health & Services-Wa is 1164673554. It was assigned to this organization in the NPPES registry on October 4, 2008.

Q: What is Providence Health & Services-Wa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since October 04, 2008

1509 CALIFORNIA ST, EVERETT, WA 98201(425) 297-5770(425) 259-5831 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2025, Feb 25, 2025, Jan 11, 2018 (3 updates tracked since 2018).

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About Providence Health & Services-wa NPPES

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

PROVIDENCE HEALTH & SERVICES-WA (NPI 1164673554) is a healthcare organization registered as a nurse practitioner in Everett, Washington and active in the NPI registry since October 2008. The organization lists Donald Wayne Anderson, Asst Secretary-enrollment, as its authorized official.

NPPES Registry Identity

NPI1164673554

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NamePROVIDENCE HEALTH & SERVICES-WA

Location Address1509 CALIFORNIA STEverett, WA 98201-3540

Mailing AddressPo Box 31001-4110Pasadena, CA 91110-4110

Phone(425) 297-5770

Fax(425) 259-5831

Organization SubpartNo

Authorized OfficialDonald Wayne AndersonAsst Secretary-enrollment · (425) 358-9786

Enumeration DateOctober 4, 2008

Last NPPES UpdateMay 7, 20253 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1164673554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1509 CALIFORNIA ST, Everett, WA 98201

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 8

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

MS. BRIANNA CHRISTINE WHITE MS MFT

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