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NORTHSHORE FAMILY PRACTICE PLLC
NPI 1811167620
Family Medicine in Bothell, WA

Active since March 07, 2008CLIA 50D0993442 · Microscopy
12900 NE 180TH ST, BOTHELL, WA 98011(425) 424-2100 Get Directions Write a Review

NPPES record last updated: April 9, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northshore Family Practice Pllc NPPES

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

NORTHSHORE FAMILY PRACTICE PLLC (NPI 1811167620) is a healthcare organization registered as a family medicine in Bothell, Washington and active in the NPI registry since March 2008. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Barbara S Mendrey, Owner, as its authorized official.

NPPES Registry Identity

NPI1811167620
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNORTHSHORE FAMILY PRACTICE PLLC
Location Address12900 NE 180TH STBothell, WA 98011-5773
Mailing Address12900 Ne 180th StBothell, WA 98011-5773 · (425) 424-2100
Phone(425) 424-2100
Organization SubpartNo
Authorized OfficialBarbara S MendreyOwner · (425) 424-2100
Enumeration DateMarch 7, 2008
Last NPPES UpdateApril 9, 2021
NPPES CertifiedApril 9, 2021
✔ NPI 1811167620 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 · MD00033694
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.

12900 NE 180TH ST, Bothell, WA 98011
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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

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) 50D0993442

Northshore Family Practice PLLC · Bothell, WA
Active · expires Apr 4, 2028
CLIA Number50D0993442
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2001
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAnanda Usman
Laboratory Phone(425) 424-2100
Laboratory LocationNorthshore Family Practice PLLC12900 NE 180th St Ste 100, Bothell, WA 98011
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 14

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

DR. HASSAN AMIN JAZAERI D.D.S.
Dentist (General Practice)
12900 NE 180TH ST, SUITE210
BOTHELL, WA 98011
King County (425) 485-2978
MS. LORI G FIELD L AC, OTR
Acupuncturist
12900 NE 180TH ST, SUITE 100
BOTHELL, WA 98011
King County (425) 443-0831
PAMELA S GADDIS PT
Physical Therapist
12900 NE 180TH ST, #110
BOTHELL, WA 98011
King County (425) 483-4270
REBECA VICTORIA BERNI LMP
Specialist
12900 NE 180TH ST, 100
BOTHELL, WA 98011
King County (425) 398-9355
MR. AYHAN YAVUZ CL, HP
Counselor
12900 NE 180TH ST
BOTHELL, WA 98011
King County (425) 802-5010
MS. SHANNON DAWN PAZIER PT
Physical Therapist
12900 NE 180TH ST, #110
BOTHELL, WA 98011
King County (425) 483-4270
KARI OSBORNE DPT
Physical Therapist
12900 NE 180TH ST, 110
BOTHELL, WA 98011
King County (425) 483-4270
DR. BLAKE M MYERS ND
Naturopath
12900 NE 180TH ST, STE. 100
BOTHELL, WA 98011
King County (425) 424-2100

Frequently Asked Questions

What is NORTHSHORE FAMILY PRACTICE PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1811167620, enumerated as an "organization" on March 07, 2008.

Where is the provider located?

The provider is located at 12900 NE 180TH ST BOTHELL, WA 98011 and the phone number is (425) 424-2100.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.

What insurance does NORTHSHORE FAMILY PRACTICE PLLC accept?

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.