PROVIDENCE HEALTH & SERVICES-WA
NPI 1790936185
Nurse Practitioner - Pediatrics in Everett, WA

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

The NPI number for Providence Health & Services-Wa is 1790936185. 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, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since October 04, 2008

900 PACIFIC AVE, FIRST FLOOR, EVERETT, WA 98201(425) 258-7311(425) 258-7618 Get Directions Write a Review

NPPES record last updated: February 10, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Feb 2, 2026, May 7, 2025, Feb 25, 2025 and 2 more (5 updates tracked since 2017).

On this page

About Providence Health & Services-wa NPPES

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

PROVIDENCE HEALTH & SERVICES-WA (NPI 1790936185) is a healthcare organization registered as a pediatrics 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

NPI1790936185

Entity TypeOrganization

Primary Taxonomy363LP0200X

Legal Business NamePROVIDENCE HEALTH & SERVICES-WA

Location Address900 PACIFIC AVE, FIRST FLOOREverett, WA 98201-4168

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

Phone(425) 258-7311

Fax(425) 258-7618

Organization SubpartNo

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

Enumeration DateOctober 4, 2008

Last NPPES UpdateFebruary 10, 20265 updates tracked since enumeration

NPPES CertifiedFebruary 10, 2026

✔ NPI 1790936185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

Also ListedNutritionistTaxonomy 133N00000X

Also ListedNutritionist · Nutrition, EducationTaxonomy 133NN1002X

Also ListedClinic/Center · Developmental DisabilitiesTaxonomy 261QD1600X

Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License HAC.FS.00000084 (WA)

Also ListedNurse PractitionerTaxonomy 363L00000X

900 PACIFIC AVE, 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 MULTIPLE 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 20

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

KEVIN L. PIEPER MD

Obstetrics & Gynecology

900 PACIFIC AVE, SUITE 501
EVERETT, WA 98201

Snohomish County (425) 259-3108

SHELLEY LYNNE HOUSTON MA, LMHC

Counselor (Mental Health)

900 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-7107

JANE E. HITTI MD

Obstetrics & Gynecology (Maternal & Fetal Medicine)

900 PACIFIC AVE, 4TH FLOOR
EVERETT, WA 98201

Snohomish County (425) 304-6165

ZACHARY ANUHEA KAOHU

Behavior Technician

900 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-7097

SARAH PHINNEY DEARMAN M.S., CCC-SLP

Speech-Language Pathologist

900 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 261-2000

DR. JILL LYNN MCDANIEL PH.D., BCBA-D, LBA

Behavior Analyst

900 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-7581

SHAIR CARTER RBT

Behavior Technician

900 PACIFIC AVE
EVERETT, WA 98201

Snohomish County (425) 258-7097

MRS. MONICA ALLENE PFAFF RD,CD

Dietitian, Registered

900 PACIFIC AVE, FIRST FLOOR
EVERETT, WA 98201

Snohomish County (425) 258-7311

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 Providence Health & Services-Wa's NPI number?

The NPI number for Providence Health & Services-Wa is 1790936185. It was assigned to this organization in the NPPES registry on October 4, 2008.

Where is Providence Health & Services-Wa located?

Providence Health & Services-Wa is located at 900 Pacific Ave First Floor, Everett, WA 98201. The listed phone number is (425) 258-7311.

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

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

What insurance does Providence Health & Services-Wa accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Providence Health & Services-Wa 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 Providence Health & Services-Wa was last updated on February 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.