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Deactivated NPI 1871685412 Deactivated / Inactive NPI Female Practitioner

Viviane E. De Valle , PA-C

Physician Assistant • Everett, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Viviane De Valle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 29, 2006
NPI Deactivation Date March 29, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Viviane De Valle, PA-C was a registered Physician Assistant practicing in Everett, WA. Throughout an active medical career spanning 17 years, Viviane De Valle provided care at the practice location at 12800 BOTHELL EVERETT HWY until profile deactivation on 2023-03-29.

Practice Location & Contact Primary Location

Practice Address

12800 Bothell Everett Hwy
Suite 120

Everett, WA 982086642

Telephone 4253165150
Fax 4253165153
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
145 Specialists

Practicing in Everett, WA (3774 Statewide)

Telehealth Adoption Rate
15.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10000372

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

22 Associated Practitioners
Theresa Skurnik , ARNP

Nurse Practitioner

NPI 1053402248

Advanced Registered Nurse Practitioner

Gary Montgomery , PA-C

Physician Assistant

NPI 1104299601

Physician Assistant (Certified)

Dr. David Erickson , MD

Internal Medicine

NPI 1114028180

Doctor of Medicine (M.D.)

NPI 1134106867

Doctor of Medicine (M.D.)

Michelle Lydston , PA-C

Physician Assistant

NPI 1194746222

Physician Assistant (Certified)

Dr. Songyan Mao , MD

Family Medicine

NPI 1235160474

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 29, 2023

Record deactivated on March 29, 2023

NPI Profile Active February 24, 2009

NPI status registered as active in NPPES database

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Updated Practice Location February 24, 2009

Registered at 12800 BOTHELL EVERETT HWY, SUITE 120, EVERETT, WA 982086642 (Tel: 4253165150)

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Updated Business Mailing Address February 24, 2009

Registered at 909 N BROADWAY, EVERETT, WA 982011409 (Tel: 4253170279)

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Provider Name / Credentials Updated February 24, 2009

Recorded as VIVIANE DE VALLE, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2009

Physician Assistant (License #PA10000372 in WA)

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Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871685412
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 29, 2006
Last Update: February 24, 2009
Deactivation Date: March 29, 2023

Mailing Address

909 N Broadway

Everett, WA 982011409

Phone: 4253170279

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.