PMG NW WA CRANIAL SPINE & JOINT
NPI 1952661043
Nurse Practitioner - Family in Everett, WA

NPI Status: Active since May 22, 2012

Contact Information

1717 13TH ST
FOURTH FLOOR
EVERETT, WA
ZIP 98201
Phone: (425) 297-6400

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 50D0709164
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About PMG NW WA CRANIAL SPINE & JOINT

This page provides the complete NPI Profile along with additional information for Pmg Nw Wa Cranial Spine & Joint, a provider established in Everett, Washington operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1952661043 assigned on May 2012. The practitioner's primary taxonomy code is 363LF0000X with license number AP60254052 (WA). The provider is registered as an organization and their NPI record was last updated one year ago. Pmg Nw Wa Cranial Spine & Joint operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Donald Wayne Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1952661043
Provider Name
PMG NW WA CRANIAL SPINE & JOINT
Entity Type
Organization
Location Address
1717 13TH ST FOURTH FLOOR EVERETT, WA 98201
Location Phone
(425) 297-6400
Mailing Address
1717 13TH ST FOURTH FLOOR EVERETT, WA 98201
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-22-2012
Last Update Date
07-25-2025
Code Navigator

A nurse practitioner (NP) like Pmg Nw Wa Cranial Spine & Joint 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 Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
AP60254052
License State
WA

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONALD WAYNE ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0709164
Facility Type
Physician Office
Certificate Effective Date
September 01, 1992
Certificate Expiration Date
April 04, 2028
Laboratory Director
DAVID L. ERICKSON
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Pmg Nw Wa Cranial Spine & Joint in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1952661043, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
1
Doubled → 2
Pos 8
0
Unchanged
Pos 9
4
Doubled → 8
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 6 → 12 → 3 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 0 + 2 + 1 + 2 + 6 + 2 + 0 + 8 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1952661043.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
1717 13TH ST, SUITE 300
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST, SUITE 300
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST, SUITE 300
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST, SUITE 300
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST, SUITE 300
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST
EVERETT, WA 98201
Pharmacist (Oncology)
1717 13TH ST
EVERETT, WA 98201
Neurological Surgery
1717 13TH ST, SUITE 401
EVERETT, WA 98201
Neurological Surgery
1717 13TH ST, STE 401
EVERETT, WA 98201
Internal Medicine (Medical Oncology)
1717 13TH ST
EVERETT, WA 98201
Radiology (Therapeutic Radiology)
1717 13TH ST, STE 200
EVERETT, WA 98201
Radiology (Radiation Oncology)
1717 13TH ST, STE 200
EVERETT, WA 98201
Pharmacist
1717 13TH ST
EVERETT, WA 98201
Pharmacist
1717 13TH ST
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST
EVERETT, WA 98201
Radiologic Technologist (Radiation Therapy)
1717 13TH ST
EVERETT, WA 98201
Internal Medicine (Hematology & Oncology)
1717 13TH ST
EVERETT, WA 98201
Physician Assistant
1717 13TH ST
EVERETT, WA 98201
Physician Assistant
1717 13TH ST, STE 401
EVERETT, WA 98201
Pharmacist
1717 13TH ST
EVERETT, WA 98201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952661043, enumerated as an "organization" on May 22, 2012.

The provider is located at 1717 13TH ST FOURTH FLOOR EVERETT, WA 98201 and the phone number is (425) 297-6400.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.