MEDICARE: EMERALD CITY CARE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1194657320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMERALD CITY CARE PLLC

Provider Business Mailing Address
First Line	:	2914 E MADISON ST STE 103
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4271
Country	:	US
Telephone Number	:	206-222-0044
Fax Number	:

Provider Business Practice Location Address
First Line	:	2914 E MADISON ST STE 103
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98112-4271
Country	:	US
Telephone Number	:	206-222-0044
Fax Number	:

Authorized Official
Title or Position	:	ARNP
Name	:	ANNA VLADIMIROVNA VOLYNKINA
Credential	:
Telephone Number	:	203-298-2196

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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