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EDMONDS FAMILY CARE, PLLC
NPI 1184751638
Clinic/Center - Primary Care in Lynnwood, WA

Active since February 28, 2007CLIA 50D1043662 · Microscopy
6101 200TH ST SW, STE#208, LYNNWOOD, WA 98036(425) 775-2066(425) 775-5306 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2021, Oct 18, 2016 (2 updates tracked since 2016).

About Edmonds Family Care, Pllc NPPES

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

EDMONDS FAMILY CARE, PLLC (NPI 1184751638) is a healthcare organization registered as a primary care in Lynnwood, Washington and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Svetlana A Bugaichuk, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1184751638
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameEDMONDS FAMILY CARE, PLLC
Location Address6101 200TH ST SW, STE#208Lynnwood, WA 98036-6077
Mailing Address6101 200th St Sw, Ste#208Lynnwood, WA 98036-6077 · (425) 775-2066 · Fax (425) 775-5306
Phone(425) 775-2066
Fax(425) 775-5306
Organization SubpartNo
Authorized OfficialSvetlana A BugaichukOffice Manager · (425) 775-2066
Enumeration DateFebruary 28, 2007
Last NPPES UpdateNovember 8, 20212 updates tracked since enumeration
NPPES CertifiedNovember 8, 2021
✔ NPI 1184751638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in WA · 602496426
6101 200TH ST SW, Lynnwood, WA 98036
Open in Google Maps ↗

Other Identifiers 2

Other0199257WA · Labor&industries
Medicaid7128606WA

Accepted Insurance

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

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) 50D1043662

Edmonds Family Care, PLLC · Lynnwood, WA
Active · expires Apr 4, 2028
CLIA Number50D1043662
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2005
Certificate Expiration DateApril 4, 2028
Laboratory DirectorTanya Bryant
Laboratory Phone(425) 775-2066
Laboratory LocationEdmonds Family Care, PLLC6101 200th St SW Ste 208, Lynnwood, WA 98036
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 10

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

TANYA I BRYANT M.D.
Family Medicine
6101 200TH ST SW, STE 208
LYNNWOOD, WA 98036
Snohomish County (425) 775-2066
DEBORAH ALLARD RIEHL RN
Registered Nurse (Community Health)
6101 200TH ST SW, SUITE 100
LYNNWOOD, WA 98036
Snohomish County (425) 339-3503
MS. GRETCHEN MARIE HENDRICKSON RN
Registered Nurse (Community Health)
6101 200TH ST SW, SUITE 100
LYNNWOOD, WA 98036
Snohomish County (425) 339-3525
DEBORAH B RILEY RN
Registered Nurse (Community Health)
6101 200TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 339-3509
AGNES M LEE RN
Registered Nurse (Community Health)
6101 200TH ST SW
LYNNWOOD, WA 98036
Snohomish County (425) 339-3512
DR. ERIC T. YUAN DDS
Dentist
6101 200TH ST SW, 201
LYNNWOOD, WA 98036
Snohomish County (425) 670-0814
MRS. LAURA ANN BLACK RN
Registered Nurse (Community Health)
6101 200TH ST SW, SUITE 100
LYNNWOOD, WA 98036
Snohomish County (425) 339-3515
MS. LISA FANNING LMP
Massage Therapist
6101 200TH ST SW, #206
LYNNWOOD, WA 98036
Snohomish County (425) 774-6402

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 Edmonds Family Care, PLLC's NPI number?

The NPI number for Edmonds Family Care, PLLC is 1184751638. It was assigned to this organization in the NPPES registry on February 28, 2007.

Where is Edmonds Family Care, PLLC located?

Edmonds Family Care, PLLC is located at 6101 200th St SW Ste#208, Lynnwood, WA 98036. The listed phone number is (425) 775-2066.

What is Edmonds Family Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Edmonds Family Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D1043662) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Edmonds Family Care, PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Edmonds Family Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Edmonds Family Care, PLLC was last updated on November 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.