ENDOMED FAMILY CLINIC LLC
NPI 1891456281
Nurse Practitioner - Family in Lynnwood, WA

Q: What is Endomed Family Clinic LLC's NPI number?

The NPI number for Endomed Family Clinic LLC is 1891456281. It was assigned to this organization in the NPPES registry on January 7, 2022.

Q: What is Endomed Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since January 07, 2022CLIA 50D2258651 · Waiver

5017 196TH ST SW STE 204, LYNNWOOD, WA 98036(206) 424-2911(206) 656-9329 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2022, Jan 7, 2022 (2 updates tracked since 2022).

On this page

About Endomed Family Clinic Llc NPPES

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

ENDOMED FAMILY CLINIC LLC (NPI 1891456281) is a healthcare organization registered as a family in Lynnwood, Washington and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through April 4, 2028, maintains a secondary practice location in Mountlake Terrace, and lists Natalya Kumar, Owner, as its authorized official.

NPPES Registry Identity

NPI1891456281

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameENDOMED FAMILY CLINIC LLC

Location Address5017 196TH ST SW STE 204Lynnwood, WA 98036-6123

Mailing Address21805 55th Ave WMountlake Terrace, WA 98043-3209 · (253) 282-6852

Phone(206) 424-2911

Fax(206) 656-9329

Organization SubpartNo

Authorized OfficialNatalya KumarOwner · (253) 282-6852

Enumeration DateJanuary 7, 2022

Last NPPES UpdateFebruary 9, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2022

✔ NPI 1891456281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

5017 196TH ST SW STE 204, Lynnwood, WA 98036

Open in Google Maps ↗

Secondary Practice Location 1

Location 121805 55th Ave WMountlake Terrace, WA 98043-3209 · Phone (253) 282-6852

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 of Waiver 50D2258651

Endomed Family Clinic · Lynnwood, WA

Active · expires Apr 4, 2028

CLIA Number50D2258651

Laboratory TypeCommunity Clinic

Certificate Effective DateApril 25, 2022

Certificate Expiration DateApril 4, 2028

Laboratory DirectorNatalya Kumar

Laboratory Phone(206) 424-2911

Laboratory LocationEndomed Family Clinic5017 196th St SW Ste 204, Lynnwood, WA 98036

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MRS. NATALYA YEVGENIEVNA KUMAR FNP-BC

Nurse Practitioner

5017 196TH ST SW STE 204
LYNNWOOD, WA 98036

Snohomish County (206) 582-7700

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 Endomed Family Clinic LLC's NPI number?

The NPI number for Endomed Family Clinic LLC is 1891456281. It was assigned to this organization in the NPPES registry on January 7, 2022.

Where is Endomed Family Clinic LLC located?

Endomed Family Clinic LLC is located at 5017 196th St SW Ste 204, Lynnwood, WA 98036. The listed phone number is (206) 424-2911.

What is Endomed Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Endomed Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2258651) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Endomed Family Clinic LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Endomed Family Clinic LLC 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 Endomed Family Clinic LLC was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.