| Sunrise Services, Inc. | |
|
1718 Broadway Everett WA 98201-2347 | |
| (425) 595-5200 | |
| (425) 595-5201 |
| Full Name | Sunrise Services, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1718 Broadway, Everett, Washington |
| Authorized Official Name and Position | Sue A. Closser (CEO) |
| Authorized Official Contact | 4254935800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Services, Inc. Po Box 2569 Everett WA 98213-0569 Ph: (425) 493-5800 | Sunrise Services, Inc. 1718 Broadway Everett WA 98201-2347 Ph: (425) 595-5200 |
| NPI Number | 1013092550 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 05/19/2023 |
| Certification Date | 05/19/2023 |
| Medicare PECOS PAC ID | 4981799483 |
|---|---|
| Medicare Enrollment ID | O20101112000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013092550 | NPI | - | NPPES |
| 1981554 | Medicaid | WA |
| Provider Name | Larry S Bornstein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548343577 PECOS PAC ID: 9638164825 Enrollment ID: I20040416001435 |
| Provider Name | Yvette A Esparza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356380356 PECOS PAC ID: 1052367562 Enrollment ID: I20050329000020 |
| Provider Name | Sandra F Carrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275724627 PECOS PAC ID: 8921192212 Enrollment ID: I20070918000023 |
| Provider Name | Margaret J Rutherford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235358946 PECOS PAC ID: 9739235201 Enrollment ID: I20090924000468 |
| Provider Name | Kristine Penella Mcmurray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073820288 PECOS PAC ID: 7315120656 Enrollment ID: I20110324000520 |
| Provider Name | Calperna C Lucas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609204742 PECOS PAC ID: 2668694043 Enrollment ID: I20141119002622 |
| Provider Name | Paulette K Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760045207 PECOS PAC ID: 8325375439 Enrollment ID: I20190813001168 |
| Provider Name | Derby S Rousseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588278154 PECOS PAC ID: 9032522131 Enrollment ID: I20210111000668 |
| Provider Name | Ioana Maria Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225687890 PECOS PAC ID: 3779978150 Enrollment ID: I20220322001244 |
| Provider Name | Gagandeep Mundi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124748363 PECOS PAC ID: 9739549643 Enrollment ID: I20230724001481 |
| Provider Name | Mustapha Jobarteh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033865191 PECOS PAC ID: 8224499561 Enrollment ID: I20230802002115 |
| Provider Name | Ismaila Tunkara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225550288 PECOS PAC ID: 5597111096 Enrollment ID: I20231019000907 |
| Provider Name | Sheilah Mburu Mbatai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851857775 PECOS PAC ID: 2466800792 Enrollment ID: I20231128001513 |
| Provider Name | David Lyin Cousineau |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376189985 PECOS PAC ID: 3678923729 Enrollment ID: I20240102001986 |
| Provider Name | Amanda K Faasse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467720631 PECOS PAC ID: 9133579204 Enrollment ID: I20240102002550 |
| Provider Name | Dorothy L Capers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164747507 PECOS PAC ID: 5092166934 Enrollment ID: I20240104004216 |
| Provider Name | Ronald F Nussli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629121934 PECOS PAC ID: 7719338557 Enrollment ID: I20240105003206 |
| Provider Name | Catharine Johanna Peppard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376979187 PECOS PAC ID: 5597117259 Enrollment ID: I20240118000225 |
| Provider Name | Phillip A Tageant |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265492474 PECOS PAC ID: 3173975620 Enrollment ID: I20240119002214 |
| Provider Name | Gabriela Sanchez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1336594233 PECOS PAC ID: 0547612038 Enrollment ID: I20240119003756 |
| Provider Name | Peimaneh Abdolhosseini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760246367 PECOS PAC ID: 8729425434 Enrollment ID: I20240318000881 |
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