OrganizationActive
Innovative Care Clinic
NPI 1346518925 · Specialist · Mill Creek, WA
Provider details
- NPI number
- 1346518925
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Fernanda Velderrain, Office Manager(425) 338-1555
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1700 132nd St Se
Suite L
Mill Creek, WA 98012-5309
Phone: (425) 338-1555
Fax: (425) 338-0765
Street-level locationGet directions
Mailing address
1700 132nd St Se
Mill Creek, WA 98012-5309
Registry dates
- Enumerated
- 2011-12-09
- Last updated
- 2011-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.