LIFE CHANGES HEALTH CARE CLINIC – Nurse Practitioner, NPI 1477614311

LIFE CHANGES HEALTH CARE CLINIC is a healthcare provider. based in Mill creek, Washington. specializing in Nurse Practitioner. The organization holds a License No. NT00000478 (WA). The NPI Number for LIFE CHANGES HEALTH CARE CLINIC is 1477614311

Main info

Organization
Name
LIFE CHANGES HEALTH CARE CLINIC
NPI
1477614311
Phone
(425) 252-6484
Address
PO BOX 12608
Authorized Official
DR. LYNDON C CAPON CHIEF MEDICAL OFFICER MD, ARNP, ND
Enumeration Date
13 December 2006
Last Update Date
19 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:19State licenses:2Digital endpointsOther names

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Provider Addresses for LIFE CHANGES HEALTH CARE CLINIC

  • PO BOX 12608

    MILL CREEK, WA 980820608

    Phone: (425) 252-6484

    Type: Mailing

  • 2820, Hewitt Avenue, Riverside, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982013820

    Phone: (425) 252-6484

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98082)

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Reviews

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Frequently asked questions

What is the standard ID for LIFE CHANGES HEALTH CARE CLINIC in the U.S.?
In the U.S., LIFE CHANGES HEALTH CARE CLINIC is identified by NPI 1477614311.
Does the public listing show LIFE CHANGES HEALTH CARE CLINIC as active?
LIFE CHANGES HEALTH CARE CLINIC's NPI record reflects an active status in NPPES.
Which specialty label fits LIFE CHANGES HEALTH CARE CLINIC?
NPPES ties LIFE CHANGES HEALTH CARE CLINIC to Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to LIFE CHANGES HEALTH CARE CLINIC?
LIFE CHANGES HEALTH CARE CLINIC shows a connection to Mill Creek, Washington in registry-derived data.
Who maintains LIFE CHANGES HEALTH CARE CLINIC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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