| Rippl Care Pc Of Washington Inc | |
|
2825 Eastlake Ave E Ste 230 Seattle WA 98102-3013 | |
| (206) 647-1007 | |
| Not Available |
| Full Name | Rippl Care Pc Of Washington Inc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 2825 Eastlake Ave E Ste 230, Seattle, Washington |
| Authorized Official Name and Position | Jason Van Reken (TREASURER) |
| Authorized Official Contact | 2066471007 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rippl Care Pc Of Washington Inc Po Box 352 Mercer Island WA 98040-0352 Ph: (206) 647-1007 | Rippl Care Pc Of Washington Inc 2825 Eastlake Ave E Ste 230 Seattle WA 98102-3013 Ph: (206) 647-1007 |
| NPI Number | 1427767391 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/04/2024 |
| Medicare PECOS PAC ID | 4385016146 |
|---|---|
| Medicare Enrollment ID | O20230206000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427767391 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
| Provider Name | Kendra Godwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093043770 PECOS PAC ID: 8628112349 Enrollment ID: I20100218000870 |
| Provider Name | Brandy Deweese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982032629 PECOS PAC ID: 6800026519 Enrollment ID: I20140225001342 |
| Provider Name | Susan Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629472477 PECOS PAC ID: 5698099430 Enrollment ID: I20150127000034 |
| Provider Name | Mary Ec Wheeler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932658325 PECOS PAC ID: 2365721362 Enrollment ID: I20161115001831 |
| Provider Name | Sharen Dodd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164799185 PECOS PAC ID: 6800032939 Enrollment ID: I20221215001470 |
| Provider Name | Molly K Torvik |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003291584 PECOS PAC ID: 0446514905 Enrollment ID: I20230217000090 |
| Provider Name | Thais Marek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972087658 PECOS PAC ID: 7517390040 Enrollment ID: I20230224001116 |
| Provider Name | Patrice Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235244666 PECOS PAC ID: 9032381405 Enrollment ID: I20230303000069 |
| Provider Name | Mary Moran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427673045 PECOS PAC ID: 4688048523 Enrollment ID: I20230316001063 |
| Provider Name | Benita Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346613049 PECOS PAC ID: 4082919774 Enrollment ID: I20231108004044 |
| Provider Name | Julie Madsen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639287865 PECOS PAC ID: 8527161819 Enrollment ID: I20240409002124 |
| Provider Name | Nadia Jomaa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154936482 PECOS PAC ID: 3577978220 Enrollment ID: I20240510000620 |
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