Prime Care Pllc
Prime Care Pllc is a healthcare organization registered as Internal Medicine Physician in Bothell, WA, holding Type 2 (organization) NPI 1578035200 since 2018. The authorized official on file is Kevin Moon, Contracting Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1578035200 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Prime Care Pllc |
| Practice address | 11812 N CREEK PKWY N STE 202, Bothell, WA, 98011 |
| Phone | 2065386300 |
| Fax | 2065386301 |
| Enumeration date | 2018-12-19 |
| Last updated in NPPES | 2023-02-09 |
Authorized official
| Name | Kevin Moon |
|---|---|
| Title | Contracting Coordinator |
| Phone | 2065386300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208VP0014X | Interventional Pain Medicine Physician | Secondary | — | — |
| 363L00000X | Nurse Practitioner | Secondary | — | — |
| 363LF0000X | Family Nurse Practitioner | Secondary | — | — |
| 207R00000X | Internal Medicine Physician | Primary | — | — |
Copy-ready billing details
Provider: Prime Care Pllc NPI: 1578035200 Taxonomy: 207R00000X (Internal Medicine Physician) Address: 11812 N CREEK PKWY N STE 202, Bothell, WA, 98011
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861591786 | Jeong Kim | Individual | Internal Medicine Physician | Bothell, WA |
| 1831723907 | Jerene Aldinger | Individual | Family Nurse Practitioner | Bothell, WA |
| 1285269472 | Michaela Kay | Individual | Family Nurse Practitioner | Bothell, WA |
Verify this record
Cross-check NPI 1578035200 against the authoritative CMS record: view Prime Care Pllc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is Prime Care Pllc located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2023-02-09.