Nina T Willow is a Family Medicine Physician practicing in Everett, Washington. The National Provider Identifier (NPI) is #1225163322, which was assigned on February 22, 2007, and the registration record was last updated on April 3, 2026. The practitioner's main practice location is at 3927 Rucker Ave, Everett, WA 98201-4833; the contact telephone number is 4252599066. The primary taxonomy of Nina T Willow is Family Medicine Physician (207Q00000X). Nina T Willow is licensed to practice in the state of Washington (#MD00040151).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
| NPI | 1225163322 |
| Entity Type | Individual |
| Provider Name | NINA T WILLOW |
| Other Name |
NINA T GREENBLATT (Former Name) |
| Gender | Female |
| Credential | M.D. |
| Other Credential | M.D. |
| Practice Address |
3927 Rucker Ave Everett WA 98201-4833 |
| Practice Telephone | 4252599066 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Mailing Telephone | 2068605414 |
| Certification Date | 2026-04-03 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2026-04-03 |
| Is Sole Proprietor | N |
| PAC ID |
8022101195 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | NINA T WILLOW |
| Medical School | TUFTS UNIVERSITY SCHOOL OF MEDICINE |
| Primary Specialty | FAMILY PRACTICE |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Address |
201 16th Ave E Seattle WA 98112-5226 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00040151 | WA |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 8290082 | WA | MEDICAID |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| Street Address |
3927 RUCKER AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-4833 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Shanna Emanuelson | 3927 Rucker Ave, Everett, WA 98201-4833 | Occupational Therapist | 2022-07-26 |
| Mary Oestreich · Mary Anderson | 3927 Rucker Ave, Everett, WA 98201-4833 | Nurse Practitioner | 2019-07-15 |
| Brendan Harrison | 3927 Rucker Ave, Everett, WA 98201-4833 | Internal Medicine Physician | 2018-06-20 |
| Tianyi Yu | 3927 Rucker Ave, Everett, WA 98201-4833 | Physical Therapist | 2021-10-06 |
| Yoon Jung Ra | 3927 Rucker Ave, Everett, WA 98201-4833 | Acute Care Nurse Practitioner | 2018-11-14 |
| Jessica Wai Teng Mau | 3927 Rucker Ave, Everett, WA 98201-4833 | Nurse Practitioner | 2019-06-06 |
| Holly Anne Bernstein | 3927 Rucker Ave, Everett, WA 98201-4833 | Nurse Practitioner | 2020-08-12 |
| Caitlin Vosburgh | 3927 Rucker Ave, Everett, WA 98201-4833 | Nurse Practitioner | 2020-09-14 |
| Graciela Varela | 3927 Rucker Ave, Everett, WA 98201-4833 | Nurse Practitioner | 2019-07-10 |
| Austen Lawrence | 3927 Rucker Ave, Everett, WA 98201-4833 | Diagnostic Radiology Physician | 2017-04-28 |
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|---|---|---|---|
| Max Martin Bispo | 902 Pine St, Everett, WA 98201-1403 | Peer Specialist | 2025-10-01 |
| Edin Dail Denison | 3327 Colby Ave, Everett, WA 98201 | Clinical Social Worker | 2016-10-31 |
| Kelligrace Pascua Hernandez | 902 Pine St, Everett, WA 98201-1403 | Counselor | 2026-02-25 |
| Hilina Tulu | 1014 Hoyt Ave, Everett, WA 98201-1528 | Registered Nurse | 2026-02-07 |
| Kathy Schalka Marvin | 4001 Colby Ave, Everett, WA 98201 | Dentist | 2006-12-15 |
| Amanda Lopez | 902 Pine St, Everett, WA 98201-1403 | Addiction (Substance Use Disorder) Counselor | 2023-04-04 |
| Sumaira Dawari | 930 N Broadway, Everett, WA 98201-1409 | Physician Assistant | 2022-08-15 |
| Gazelle Williams | 2722 Colby Ave Suite 706, Everett, WA 98201 | Mental Health Counselor | 2014-11-14 |
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| Nina E. Mclain · Nina E. Morgan | 2510 Lakeland Dr, Flowood, MS 39232-9513 | Certified Registered Nurse Anesthetist | 2006-08-21 |
| Nina Afra Jonker · Nina Olsen | 6207 Riverwalk Ln Unit 8, Jupiter, FL 33458-4603 | Medical Physician Assistant | 2026-01-23 |
| Nina Thekkekara · Nina Cherian | 411 N Washington Ave Ste 6000, Dallas, TX 75246-1789 | Acute Care Nurse Practitioner | 2022-08-10 |
| Nina Mackenzie Smalls · Nina Mackenzie Payton | 6600 Van Aalst Blvd, Fort Benning, GA 31905-2102 | Clinical Social Worker | 2014-09-09 |
| Nina Kim Scott · Nina Kim Tran | 2301 Holmes St, Kansas City, MO 64108-2640 | Student in an Organized Health Care Education/Training Program | 2026-03-23 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |