Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randall Lee De Jong, ARNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1285716761

Randall Lee De Jong, ARNP is a Nurse Practitioner in Everett, Washington. Qualified in 1996, 30 years ago. Practices with Providence Health and Services-Wa, a 23-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2006
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

916 Pacific Ave 1 S
Everett, WA 98201-4147
Phone: (425) 258-7390
Fax: (425) 258-7379
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP30004081 (WA)

Record details

NPI number1285716761
Entity typeIndividual (Type 1)
GenderMale
Credentials ARNP
Sole proprietorNo
NPI enumeratedOctober 20, 2006
Last updated in NPPESNovember 7, 2025
Certification dateNovember 7, 2025
Mailing address909 N Broadway, Pbo, Everett, WA 98201-1409

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Providence Health And Services-Wa — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Everett