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WATER'S EDGE FAMILY PRACTICE & WELLNESS CENTER
NPI 1336584119
Family Medicine in Langley, WA

Active since May 07, 2013CLIA 50D2088026 · Waiver
221 SECOND STREET, LANGLEY, WA 98260(360) 221-1060(360) 221-1062 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Water's Edge Family Practice & Wellness Center NPPES

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

WATER'S EDGE FAMILY PRACTICE & WELLNESS CENTER (NPI 1336584119) is a healthcare organization registered as a family medicine in Langley, Washington and active in the NPI registry since May 2013. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Annastasia Kovscek, Owner, as its authorized official.

NPPES Registry Identity

NPI1336584119
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWATER'S EDGE FAMILY PRACTICE & WELLNESS CENTER
Location Address221 SECOND STREETLangley, WA 98260
Mailing AddressPo Box 1327Langley, WA 98260-1327 · (360) 221-1060 · Fax (360) 221-1062
Phone(360) 221-1060
Fax(360) 221-1062
Organization SubpartNo
Authorized OfficialAnnastasia KovscekOwner · (360) 221-1060
Enumeration DateMay 7, 2013
✔ NPI 1336584119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD60091880
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
221 SECOND STREET, Langley, WA 98260
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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

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 of Waiver 50D2088026

Water's Edge Family Practice And Wellness Center · Langley, WA
Active · expires Apr 4, 2028
CLIA Number50D2088026
Laboratory TypePhysician Office
Certificate Effective DateDecember 9, 2014
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAnnastasia M. Kovscek
Laboratory Phone(360) 221-1060
Laboratory LocationWater's Edge Family Practice And Wellness Center221 2nd St Ste 6A, Langley, WA 98260
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Water's Edge Family Practice & Wellness Center's NPI number?

The NPI number for Water's Edge Family Practice & Wellness Center is 1336584119. It was assigned to this organization in the NPPES registry on May 7, 2013.

Where is Water's Edge Family Practice & Wellness Center located?

Water's Edge Family Practice & Wellness Center is located at 221 Second Street, Langley, WA 98260. The listed phone number is (360) 221-1060.

What is Water's Edge Family Practice & Wellness Center's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Water's Edge Family Practice & Wellness Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2088026) 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 Water's Edge Family Practice & Wellness Center was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.