PROVIDENCE HEALTH & SERVICES-WA
NPI 1790936185
Nurse Practitioner - Pediatrics in Everett, WA
NPI Status: Active since October 04, 2008
Contact Information
900 PACIFIC AVE
FIRST FLOOR
EVERETT, WA
ZIP 98201
Phone: (425) 258-7311
Fax: (425) 258-7618
- Organization
- Nurse Practitioner
- Pediatrics
- Accepts Insurance
About PROVIDENCE HEALTH & SERVICES-WA
This page provides the complete NPI Profile along with additional information for Providence Health & Services-wa, a provider established in Everett, Washington operating as a Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1790936185 assigned on October 2008. The practitioner's primary taxonomy code is 363LP0200X. The provider is registered as an organization and their NPI record was last updated February 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Donald Wayne Anderson Jr. (Asst Secretary-enrollment)
- NPI
- 1790936185
- Provider Name
- PROVIDENCE HEALTH & SERVICES-WA
- Entity Type
- Organization
- Location Address
- 900 PACIFIC AVE FIRST FLOOR EVERETT, WA 98201
- Location Phone
- (425) 258-7311
- Location Fax
- (425) 258-7618
- Mailing Address
- PO BOX 31001-4110 PASADENA, CA 91110
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-04-2008
- Last Update Date
- 02-10-2026
- Code Navigator
A nurse practitioner (NP) like Providence Health & Services-wa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 133N00000X | Dietary & Nutritional Service Providers | Nutritionist | |
| 2 | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | |
| 3 | 261QD1600X | Ambulatory Health Care Facilities | Clinic/Center | (WA) |
| 4 | 282N00000X | Hospitals | General Acute Care Hospital | HAC.FS.00000084 (WA) |
| 5 | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
- Premera Blue Cross Family Dental - PPO
- Premera Blue Cross Pediatric Dental - PPO
- HSA-E Qualified 7500 Bronze - Signature Network - EPO
- Providence Oregon Standard Bronze Plan - Signature Network - EPO
- Providence Oregon Standard Gold Plan - Signature Network - EPO
- Providence Oregon Standard Silver Plan - Signature Network - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1790936185, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790936185, enumerated as an "organization" on October 04, 2008.
The provider is located at 900 PACIFIC AVE FIRST FLOOR EVERETT, WA 98201 and the phone number is (425) 258-7311.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.
