Healthcare Provider Details

I. General information

NPI: 1538037486
Provider Name (Legal Business Name): JOURNEY HEALTH AT HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 HEWITT AVE STE 203
EVERETT WA
98201-3767
US

IV. Provider business mailing address

2210 HEWITT AVE STE 203
EVERETT WA
98201-3767
US

V. Phone/Fax

Practice location:
  • Phone: 425-689-1212
  • Fax: 425-276-8202
Mailing address:
  • Phone: 425-689-1212
  • Fax: 425-276-8202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HEATHER MARIE RUSSELL
Title or Position: OWNER
Credential: ARNP
Phone: 206-251-5413