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Suman Kaur Hara , LPN

Licensed Practical Nurse β€’ Everett, WA

Active NPI 1770055303 Individual Practitioner Female Practitioner
Practice location in NPPES

9930 Evergreen Way Ste Z150
Everett, WA 982043889

Call 4253475121 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

9930 Evergreen Way Ste Z150

Everett, WA 982043889

Telephone 4253475121
Fax 4253536425
Organization at the Same NPPES Address or Phone
Therapeutic Health Services Facility NPI 1851480875

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Everett and Washington

47 active clinicians are listed under Licensed Practical Nurse with a practice address in Everett, WA (1,691 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Everett

0% of these 47 clinicians have the CMS telehealth indicator.

0% of these 47 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-12-16
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES WA LP00059129

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Eric Ramos Malpica , PA

Physician Assistant

NPI 1083061352

Physician Assistant

Nathaniel Schmidt , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1578915062

Advanced Registered Nurse Practitioner

Ananda Usman

Nurse Practitioner - Psychiatric/Mental Health

NPI 1689342065

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location December 16, 2022

Registered at 9930 EVERGREEN WAY STE Z150, EVERETT, WA 982043889 (Tel: 4253475121)

πŸ“
Updated Business Mailing Address December 16, 2022

Registered at 9930 EVERGREEN WAY STE Z150, EVERETT, WA 982043889 (Tel: 4253475121)

βœ…
NPI Profile Active December 20, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 20, 2018

Registered at 22026 20TH AVE SE STE 101, BOTHELL, WA 980214449 (Tel: 4255270477)

πŸ“
Business Mailing Address (Initial Record) December 20, 2018

Registered at 22026 20TH AVE SE STE 101, BOTHELL, WA 980214449 (Tel: 4255270477)

πŸ‘€
Provider Name / Credentials (Initial Record) December 20, 2018

Recorded as SUMAN HARA, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 20, 2018

Licensed Practical Nurse (license number reported to NPPES: WA LP00059129)

🟒
Initial NPI Registration & Enumeration December 20, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1770055303
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 20, 2018
Last Update: December 16, 2022
Sole Proprietor: No

Mailing Address

9930 Evergreen Way Ste Z150

Everett, WA 982043889

Phone: 4253475121

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.