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PRIME CARE PLLC
NPI 1578035200
Internal Medicine in Bothell, WA

Active since December 19, 2018
11812 N CREEK PKWY N STE 202, BOTHELL, WA 98011(206) 538-6300(206) 538-6301 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 9, 2023, May 25, 2022, Dec 19, 2018 (3 updates tracked since 2018).

About Prime Care Pllc NPPES

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

PRIME CARE PLLC (NPI 1578035200) is a healthcare organization registered as an internal medicine in Bothell, Washington and active in the NPI registry since December 2018. The organization lists Kevin Moon, Contracting Coordinator, as its authorized official.

NPPES Registry Identity

NPI1578035200
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIME CARE PLLC
Location Address11812 N CREEK PKWY N STE 202Bothell, WA 98011-8202
Mailing Address801 Sw 16th St Ste 121Renton, WA 98057-2628 · (206) 538-6300 · Fax (206) 538-6301
Phone(206) 538-6300
Fax(206) 538-6301
Organization SubpartNo
Authorized OfficialKevin MoonContracting Coordinator · (206) 538-6300
Enumeration DateDecember 19, 2018
Last NPPES UpdateFebruary 9, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2023
✔ NPI 1578035200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
11812 N CREEK PKWY N STE 202, Bothell, WA 98011
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. MICHAELA KAY DNP, ARNP, FNP-BC
Nurse Practitioner (Family)
11812 N CREEK PKWY N STE 202
BOTHELL, WA 98011
King County (425) 287-5500
JERENE ALDINGER ARNP
Nurse Practitioner (Family)
11812 N CREEK PKWY N STE 202
BOTHELL, WA 98011
King County (425) 287-5500
JEONG H. KIM M.D.
Internal Medicine
11812 N CREEK PKWY N STE 202
BOTHELL, WA 98011
King County (425) 287-5500

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 Prime Care PLLC's NPI number?

The NPI number for Prime Care PLLC is 1578035200. It was assigned to this organization in the NPPES registry on December 19, 2018.

Where is Prime Care PLLC located?

Prime Care PLLC is located at 11812 N Creek Pkwy N Ste 202, Bothell, WA 98011. The listed phone number is (206) 538-6300.

What is Prime Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Prime Care PLLC was last updated on February 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.