f Sea Mar Family Nurse Practitioner Residency


Sea Mar Community Health Centers’ Family Nurse Practitioner Residency began at the Sea Mar Seattle Medical Clinic in October of 2015 under the directorship of Patricia Cleveland, ARNP. In 2019 and 2020, the residency was awarded two Health Services and Resource Administration (HRSA) grants, prompting the residency expansion to six residents in 2019 and to ten in 2020. The expansion included the addition of two new clinical sites in Everett and Tacoma, each with three residents. The initial clinical site in Seattle increased to host four residents. The NP residency leadership team welcomed Lindsey Anagnostopoulos, former NP residency graduate, as Everett Site Director in 2019, and Margaret Boyle as Tacoma Site Director in 2020. Margaret Boyle is dual certified as a family nurse practitioner and psychiatric mental health nurse practitioner, and will lead the behavioral health portion of the residency curriculum.

With the incredible support of the Sea Mar organization and surrounding community, Sea Mar’s Family Nurse Practitioner Residency has become a successful and highly-esteemed post-graduate training program. The Family Nurse Practitioner Residency became accredited through the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC) in July 2018, demonstrating its commitment to high-quality and rigorous post graduate training.

Sea Mar has long been part of the community and an advocate for educational programs. For many years, the Seattle Medical clinic has been a training site for new providers, welcoming two new physician residents each year from both the Swedish Cherry Hill Family Medicine Residency since 1987 and the Children’s Pediatric Residency since the early 1990s. As the Nurse Practitioner Residency was under development in 2014, Sea Mar created the Department of Medical Education in an effort to centralize many of the educational and residency programs. Sea Mar also began the Sea Mar sponsored Family Medicine Residency program in Snohomish County in June 2017.
Visitors to our site are encouraged to provide public comment as part of our accreditation process. Please visit the Accreditation Status and Public Comment Website.


The Sea Mar Family Practitioner Residency program aims to further enhance and develop the clinical skills, resiliency, and confidence of new nurse practitioners to prepare them for the complexities and rigors of working within Federally Qualified Health Centers, adhering closely to the mission and values of the Sea Mar Organization in providing comprehensive, holistic, culturally competent, and patient-centered care.

The Team

Program Team:

Nurse Practitioner Residency Program Director
Patricia Cleveland, FNP

Nurse Practitioner Residency Site Director – Everett
Lindsey Anagnostopoulos, FNP

Nurse Practitioner Residency Site Director – Tacoma
Margaret Boyle, FNP, PMHNP

Medical Department & Program Coordinator
Lenisa Epenesa

Chief Medical Officer
Ricardo Jimenez, MD

Clinic Operations Team:

Seattle Medical

Medical Director, Seattle
Philip Reilly, MD

Health Center Administrator, Seattle
Dayana Hernandez, RN (Interim)

Nurse Manager, Seattle
Dayana Hernandez, RN

Front Office Supervisor, Seattle
Veronica Hernandez

Everett Medical

Medical Director, Everett
Julio Jimenez, MD

Health Center Administrator, Everett
Nicholas Ramirez (Interim)

Front Office Supervisor, Everett
Gladys Garcia

Tacoma Medical

Medical Director, Tacoma
John Okrent, MD

Health Center Administrator, Tacoma
Harry Franqui

Nurse Manager, Tacoma
Ana Morales, RN

Front Office Supervisor, Tacoma
Vanessa Nuno

Site Information

Seattle Medical

8720 14th Ave S, Seattle, WA 98108 | P 206.762.3730 | F 206.764.8000

Everett Medical

1920 100th St Suite B, Everett, WA, 98208 | P 425.312.0202 | F 425.312.0263

Tacoma Medical

1112 S Cushman Ave Tacoma, WA 98405 | P 253.396.1634 | F 253.396.1663


Patricia Cleveland

Patricia Cleveland,ARNP
Program Director
Sea Mar Seattle Medical

Patti Cleveland was inspired by Sea Mar’s vision and mission during her undergraduate education at Western Washington University, which led her to pursue nurse practitioner training. She graduated from the family nurse practitioner program at Seattle University in 2008. During graduate school Patti had clinical rotations at Sea Mar in Marysville, and joined the Seattle Medical provider team in February of 2009. Patti was appointed Program Director of Sea Mar’s very first Nurse Practitioner Residency in 2014, created the curriculum and structure of the residency program, and led the program through accreditation with the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC) in July 2018.

Patti’s philosophy of care is that every person deserves access to holistic and comprehensive health care, and that everyone should be treated with dignity and respect. She believes in health promotion and the maintenance of a healthy lifestyle to aid in the prevention of chronic diseases.

Patti is a member of the American Academy of Nurse Practitioners, NNPRFTC and the National Health Service Corps. She serves on the Accreditation Commission for the NNPRFTC, and is one of the leaders of the Northwest Consortium of Advanced Practice and Education (NW CAPE). In her spare time she enjoys playing soccer, outdoor recreation, playing board games, and spending time with her husband and children.

Lindsey Anagnostopoulos, ARNP
Everett Site Director
Sea Mar Everett Medical

Lindsey Anagnostopoulos is a 2015 graduate of Seattle University’s MSN program, and a 2016 graduate of the Sea Mar Nurse Practitioner Residency Program. After residency graduation, she joined the Sea Mar Everett team, where she currently practices comprehensive primary care and leads the colposcopy clinic. Lindsey strives to provide holistic care and focuses on patient education.

In 2017, Lindsey became a residency faculty member, and in 2018, Lindsey joined the program leadership as the Everett Site Director.

Lindsey’s commitment to ARNP training is evident through her roles at Sea Mar and in the community. In addition to her work as Site Director, Lindsey precepts NP students interested in community health. She is also an active member of the Northwest Consortium of Advanced Practice and Education (NW CAPE).

Lindsey has prioritized volunteer work with underserved populations throughout her career. Some of these opportunities include working with seniors in low-income housing and with a team of ophthalmologists at a clinic in Nuevo Progreso, Guatemala.

Margaret Boyle, ARNP
Site Director-Tacoma, Sea Mar Tacoma Medical

Margaret graduated from Pacific Lutheran University with her MSN and began working as Family Nurse Practitioner at Sea Mar’s Tacoma Medical Clinic in 2010. An interest in psychiatry prompted her to earn a Post-Master’s Certification in Psychiatric-Mental Health Nursing from Johns Hopkins University. She has been working as a Psychiatric Nurse Practitioner at Sea Mar’s Behavioral Health Clinic in Tacoma since 2017.

Margaret joined the Nurse Practitioner Residency Program in 2020 as site director at Tacoma Medical and is responsible for program development to integrate Behavioral Health curriculum and enhance clinical rotations. As a dual board-certified Family and Psychiatric Mental Health Nurse Practitioner, her professional practice goals include providing holistic and patient-centered care, patient advocacy, and empowering individuals to become active participants in the management of their physical and emotional health. Margaret strives to improve the overall well-being of individuals, families, and her community.

Bethany Rolfe, ARNP
Seattle Faculty, Seattle Pacific University, per diem Seattle Medical

Bethany Rolfe began practicing at Sea Mar in 2007. Bethany is a professor at Seattle Pacific University, where she teaches in the School of Health Sciences’ graduate school. The classes she teaches include pediatrics, women’s health, health assessment, and culture in health care.

She works on a per-diem basis at the Seattle Medical and White Center clinics, but will be precepting Nurse Practitioner residents regularly in Seattle. Before beginning her practice at Sea Mar, Bethany worked in La Carpio, San Jose, Costa Rica, serving immigrants and the indigenous populations of Costa Rica

Bethany completed her undergraduate and graduate degrees in nursing, graduating with honors from Seattle Pacific University. She then earned a Doctor of Nursing Practice degree from the University of Washington. She is ANCC board certified. In addition, she is a member of the Honor Society of Nursing, Sigma Theta Tau International. She has a deep appreciation for the beauty of the Pacific Northwest and spends her free time with her husband enjoying outdoor activities like hiking, backpacking, kayaking, sailing, and gardening

Rebecca Nebel, ARNP
Seattle Faculty
Sea Mar Kent Medical

Rebecca Nebel graduated with a Master’s degree in nursing from Seattle University in 2013 and is a certified Family Nurse Practitioner through AANP. She began practicing as a provider at Sea Mar’s Kent Medical Clinic in 2014. Rebecca completed her Bachelor’s degree in biology and Spanish language at Whitman College in Walla Walla, WA. After working in Mexico City as an English teacher and several years as a veterinary technician, she went back to school in nursing. Rebecca especially enjoys working in pediatrics, women’s health, and immigrant and refugee health. Before attending graduate school she volunteered in the pediatric unit at Swedish Medical Center and the neonatal intensive care unit at UW Medical Center.

Rebecca is a native of Seattle, but also has a passion for travel. She has visited various countries in Central and South America, Europe, and Southeast Asia. She has a special appreciation for learning about different cultures and customs, and hopes this will further improve her ability to provide high quality patient care. On her days off, Rebecca enjoys reading, salsa dancing, watching movies, and exploring the outdoors with her husband and son.

Rachel Query, ARNP
Seattle and Everett Faculty,
Sea Mar White Center Medical

Rachel Query is a 2016 graduate of the DNP program at the University of Washington and a 2017 graduate of the Sea Mar Nurse Practitioner Residency. She received her Bachelors of Science in Nursing from Calvin College in 2005 and her Master’s in Public Health from UCLA in 2011. Prior to working as a Nurse Practitioner Rachel worked as an ICU nurse at academic hospitals in both Denver and Los Angeles. She currently works at the Sea Mar White Center Clinic and will be starting as adjunct faculty in the Graduate School of Nursing at Seattle Pacific University in October 2019.

Rachel has always been passionate about working with underserved populations and increasing access to quality health care and preventive services. Specific interests include working to improve social determinants of health, the health of immigrant populations, women's health, integrative medicine, and nutrition.

In her free time Rachel enjoys reading, traveling, hiking, and spending time with her husband and 3 young daughters.

Francisca Salazar, ARNP
Seattle Faculty, University of Washington Faculty
Sea Mar Seattle Medical

Growing-up in a low-income household in the South Seattle area and as the daughter of immigrant parents, Francisca experienced the barriers to accessing care. Fortunately, she and her family experienced the comfort of culturally competent care as a patient at Sea Mar Community Health. She quickly realized that she could combine her lived experiences and education to provide exceptional care to her local community.

Francisca started her nursing career in 2005 at Harborview Medical Center. She continued to grow as a clinician while working locally at the Seattle Children’s Hospital and the University of Washington Medical Center. She returned to her alma mater, the University of Washington, and completed the MSN program in 2013. Francisca continued honing her skills within the Neurosurgery team at the University of Florida Health Hospital. Francisca has worked abroad developing sexual health curriculum in Nicaragua, and providing OB care to the indigenous Mayan community of her home country, Guatemala. Additionally, she has completed research in Lima, Peru.

In 2015, Francisca returned home to be close to friends and family, and started to serve the community that inspired her to become a clinician. Currently Francisca is the walk-in provider at Sea Mar Seattle and Nurse Practitioner Preceptor. She serves as faculty at the University of Washington in the Department of Child, Family, and Population Health. Francisca continues to work with her community, participating in Career Days at her previous high school to encourage underserved youth to reach their full potential.

Tara Hayes Constant, ARNP
Seattle Faculty
Sea Mar Burien Medical

Brooke Powers, ARNP
Seattle and Everett Faculty
Sea Mar Des Moines Medical

Brooke Powers graduated from the University of Washington DNP program in 2016, after which she joined Sea Mar as a NP resident at the Seattle Medical clinic. After completing the residency, she continued employment at Sea Mar at the Des Moines clinic site. Prior to her advanced practice degree, she practiced as a RN, working in a variety of health care settings: pediatric home health, inpatient pediatrics, community health in Bolivia, as well as inpatient adult orthopedic and oncology care.

A native of Montana, Brooke enjoys a variety of outdoor activities, particularly hiking, skiing, and bicycling. Outside of work, she tries to keep up with her husband and three children.

Peter Matranga, ARNP
Seattle and Tacoma Faculty
Sea Mar Seattle Medical

Wendy Mironov, ARNP
Seattle, Everett, and Tacoma Faculty
Sea Mar Burien Medical

Noelle Tripp, ARNP
Everett Faculty
NeighborCare Health and per diem Everett Medical

Noelle Tripp graduated from Boston College with a Master of Science in Nursing. She received a BA in sociology and pre-medicine as well as a MS in Global Health from the University of Notre Dame. Her commitment to community health stems from years of working with underserved populations domestically and abroad. Prior to studying nursing, Noelle lived at a children’s home in Honduras and worked on an interdisciplinary clinical team, which later inspired her to pursue nursing. She believes that access to high-quality, affordable and comprehensive healthcare is a human right which should be afforded to every person regardless of their background or ability to pay. In addition, Noelle is dedicated to the field of primary care because she strongly believes in the focus on disease prevention and health promotion. In her free time, Noelle loves hiking, reading, playing futbolito, and traveling.
Noelle is a 2019 graduate of the Sea Mar residency program.

S. Adnan Mustafa, MD
Seattle Faculty
Sea Mar Kent Medical

Growing up as a second-generation Muslim, Indian American in eastern North Carolina, he came to appreciate the intersection of different cultures, and is always looking to gain knowledge and insight from others. After medical school, he obtained an master's degree in public health to better serve patients and understand the social complexities of good health. He believes that true health is multi-faceted and has to be addressed from all angles including those methods beyond the clinic where health is impacted most.

He joined the Kent Medical Clinic as a physician provider in August 2014. He came to Sea Mar after completing a residency in Internal Medicine and Pediatrics at the University of North Carolina at Chapel Hill.

He has hosted/precepted over 30 students independent of formal precepting and is dedicated to student learning. Working at Sea Mar has taught him the joy of connecting with patients beyond their medical diagnosis, to meet patients where they are at, and to make sure you have balance in life to continue the work.

In his free time, Adnan enjoys spending time with his wife and children, hiking, traveling, reading, playing basketball, and cooking.

Binisha Shrestha, ARNP
Everett and Seattle Faculty
Sea Mar Everett Medical

Binisha Shrestha is a 2017 graduate of Gonzaga University's MSN program. she joined Sea Mar clinic in Burien in 2017 as her first job out of Nurse practitioner program. Having been a patient at Sea Mar, she understood the integral role Sea Mar plays in the community and wanted to be part of the team to serve Sea Mar's mission and vision. Binisha is part of the core Everett faculty and may cover occasional Seattle precepting shifts. Binisha was born and raised in Kathmandu, Nepal. She immigrated to the United States in 2006 as an international Student. She completed her undergraduate degree in nursing from Winona State University in Winona, Minnesota before moving to Seattle Washington in 2010. Being an immigrant herself, Binisha wishes to work for the ethnically diverse population Sea Mar serves. Given her experience as an international student in the US, she relates personally to the challenges and trumps our patients face on their day to day lives. Binisha likes to spend her free time with her two children, two fur babies, cooking for her family and friends.

Rachel Bock, ARNP
Tacoma Faculty
Sea Mar Federal Way Medical

Rachel began her career with Sea Mar in August 2018. She also worked in Baltimore, Maryland after graduating with an MSN and MPH from Johns Hopkins University in 2017. She firmly believes that health care is a human right and is committed to working in community health. During her training she worked as a nurse at a student-run community nursing center and volunteered at a free clinic for uninsured patients. Prior to becoming a nurse practitioner, she studied health care disparities in Santiago, Chile under a Fulbright grant. She also worked in patient services at the Pulmonary Fibrosis Foundation in Chicago, where she provided education to families and became passionate about the importance of engaging patients in their own care through education. Rachel grew up in California and now lives in Federal Way with her partner, Steve. In her free time, you might find her rock climbing, learning guitar, or herding her two cats around the house.

John Okrent, MD
Tacoma Faculty
Sea Mar Tacoma Medical

Leonard “Bob” Puett, PA-C
Tacoma Faculty
Sea Mar Tacoma Homeless Clinic

Kathryn Harshman, ARNP
Tacoma Faculty
Sea Mar Tillicum Medical

Lenisa Epenesa
Medical Department and Residency Coordinator

After graduating from the University of Washington Tacoma with her Bachelors, Lenisa knew she wanted to serve in the community. As an undergrad, she interned at Swedish First Hill Hospital for over a year and grew a great interest in the medical field. She joined Sea Mar’s Seattle medical clinic as the Medical Department & Residency Coordinator in April of 2019, and is excited to continue on as part of an organization that strives to provide care to the underserved and truly understands the impact of the social determinants of health on patients’ lives. She is eager to learn and grow in her time here at Sea Mar and hopes to pursue a career later in the nursing field.

Our Residents

John Marrin

John Marrin
Seattle Medical

John Marrin (pronouns he/him) is a 2020 graduate of the Doctor of Nursing Practice - Family Nurse Practitioner program at the University of Washington. He received his Bachelor of Science in Nursing from the University of Missouri Columbia in 2015 and previously studied Spanish and Political Science at Marquette University in Milwaukee, Wisconsin. John’s prior professional experience includes work in community health, critical care nursing, Spanish medical interpretation, and farmworker health. He also lived and worked in San Salvador, El Salvador, as part of a community-based learning program at the Universidad Centroamericana.

John is committed to partnering with patients and their families to provide high quality, evidence based care. He has a particular interest in working with underserved communities and is grateful to be part of the Sea Mar Family Nurse Practitioner Residency Program. John is originally from Kansas City, Missouri, and has lived in the Seattle area since 2017. Outside of work, he enjoys hiking and biking, cooking, travel, and spending time with his partner.

Annika Hearn

Annika Hearn
Seattle Medical

Annika Hearn graduated from the University of Washington Family Nurse Practitioner program with her Doctorate of Nursing Practice. Prior to that, she received bachelor’s degrees in Spanish and International Studies with foci in Global Health and Latin America from the University of Oregon, and obtained an accelerated Bachelor of Science in Nursing degree through Oregon Health and Science University. She lived in Washington and worked as an Emergency Department nurse, both in Yakima and Seattle, for four years prior to becoming a Nurse Practitioner and loves caring for people from diverse backgrounds.

Throughout her training, Annika traveled to Ecuador and Mexico where she studied nursing, health systems and volunteered at a birthing clinic. She spent many summers translating and assisting with health screenings at medical migrant farmworker clinics. She is interested in addressing health disparities experienced by rural communities and pursued three rural clinical rotations throughout her Nurse Practitioner training. Additionally, Annika is committed to supporting people through alcohol and substance abuse treatment as her doctorate research project involved training in Medication Assisted Treatment for opioid dependence. She is passionate about providing holistic patient-centered healthcare for Spanish speaking communities. Annika is looking forward to joining the Sea Mar Nurse Practitioner Residency team to promote health, wellness, and disease prevention within the Sea Mar patient community.

Madelyn Pimentel

Madelyn Pimentel
Seattle Medical

Madelyn is originally from Santo Domingo, Dominican Republic, where she grew up before moving to Boston, MA. She completed her Masters of Science in Nursing from Yale School of Nursing and received her Bachelor of Arts in Psychology from Boston College. Prior to getting her Masters, Madelyn worked at Harvard Medical School's Department of Population Medicine, where she coordinated public health research to inform the FDA's regulatory practices on drug and vaccine safety. She also served with City Year Boston, an AmeriCorps program, where she discovered her passion for health education and community-based health care.

During nursing school, Madelyn’s primary clinical and volunteering experiences reinforced her commitment to work with disadvantaged communities as a family nurse practitioner, particularly the Latinx community. Madelyn served as a Spanish interpreter and student clinician at the HAVEN Free Clinic – a multidisciplinary student led clinic in New Haven, CT that provides access to health care to the medically uninsured. As a 1st generation immigrant, she is passionate about helping diverse populations navigate our health system to improve access to resources and promote better health outcomes.

Madelyn is excited to start her FNP career in Sea Mar’s residency program, where she will support her patients, colleagues, and community in the pursuit of wellness and social change.

Morgan Busse

Morgan Busse
Seattle Medical

Morgan Busse is a graduate of the University of Washington’s DNP - Family Nurse Practitioner program. Before becoming a NP, she worked as a registered nurse caring for families in a busy hospital serving patients in antepartum, labor and delivery, and post-partum. Through her clinical experiences, she had the opportunity to partner with countless families, catching a glimpse into their lives and together setting a path toward health and wellness. The barriers and challenges faced by so many in our society motivates her work in family practice and community health. She is eager to partner with families and to improve and manage health and wellness.

Her practice philosophy is to empower the patient to achieve and maintain health by applying evidence-based care and shared-decision making. She believes the patient-provider relationship is the driver in effective, healthcare and prioritizes this through constructing trust and dialogue. Her medical interests include women’s health, child and adolescent health, preventive medicine, and population/global health.

She loves her family, traveling, skiing, hiking, soccer, and mostly, exploring the beauty in this world through the eyes of her two children.

Chelsa Green

Chelsa Greene
Everett Medical

Chelsa Greene is a graduate of the Family Nurse Practitioner and Women’s Health Subspecialty programs at Columbia University in New York. Prior to her career in nursing, Chelsa received a BA in Kinesiology from Occidental College in Los Angeles, California. Following her undergraduate degree, Chelsa served a one-year AmeriCorps VISTA term coordinating the Medical Reserve Corps in a rural Oregon county. The experience inspired Chelsa to transition from public health to direct patient care leading her to a position with Planned Parenthood of Northern California. In this role, Chelsa provided reproductive health care and education and realized her desire to pursue nursing. After becoming a nurse, Chelsa began working in special medical foster care. Visiting the foster homes of medically complex children took Chelsa to all five boroughs of New York City and reaffirmed her ongoing desire to provide care among underserved communities.

Chelsa is passionate about health equity and is excited to participate in the provision of high-quality care for all that enter the doors of Sea Mar’s clinics. She looks forward to engaging in the interdisciplinary approach to comprehensive primary care and how her particular interests of the management of chronic conditions and women’s healthcare benefit from this approach.

Jenna Paul

Jenna Paul
Everett Medical

Jenna Paul graduated with a Master of Science in Nursing, FNP and Master of Public Health in Global Health from Case Western Reserve University in Cleveland, Ohio. She completed her RN education at Crowder College (2014) and completed her BSN at Central Methodist University (2016). She also holds Bachelor's of Arts degrees in Global Studies and Psychology from Azusa Pacific University (2009). Prior to pursuing nursing, she worked for three years as a high school Social Studies and English teacher in Sucre, Bolivia. While living in Bolivia she felt a call toward providing health care for vulnerable populations which began her journey into nursing and advanced practice. Much of her nursing experience has been in Emergency care in both a rural critical access hospital as well as an urban Level 1 Trauma Center. Jenna has also worked as a Sexual Assault Nurse Examiner since 2016.

Throughout her life Jenna has developed a passion for diverse populations, working extensively with individuals with disabilities, immigrants and refugees in both health and community settings. She and her family moved from Ohio for the NP Residency and is excited to serve and continue to grow and to learn from patients, their families and their communities while working at Sea Mar.


Emina Polovina Bayomy
Everett Medical

Emina Polovina Bayomy is a graduate of Simmons University's Family Nurse Practitioner program in Boston, Massachusetts. She previously received a Bachelor of Science in Nursing from Washington State University. Emina immigrated to the United States from Bosnia & Herzegovina. As a former refugee a career in service is one that is immensely personal to her as she believes that every individual deserves access to compassionate high-quality healthcare.
While in Boston, Emina completed a primary care advocacy & leadership fellowship in community organizing. Passionate about healthcare delivery in an urban setting, she worked as a pediatric primary care nurse at a community health center in one of Boston’s most diverse and unserved neighborhoods. In addition to community based primary care, Emina is passionate about promoting social justice, health promotion, preventative healthcare, and keeping families happy and healthy. Emina is so grateful and excited to be back in Seattle and to be a part of the nurse practitioner residency at Sea Mar.

Lori Weller

Lorie Weller
Tacoma Medical

Lori Weller graduated with her Bachelor of Science in Nursing from Brigham Young University and worked as an RN for several years in the NICU, as a Labor and Delivery nurse, and in Home Health. She also had the opportunity to live and work in rural parts of Guatemala for over a year as part of a church welfare mission to promote mother and newborn care, access to clean water, and teach First Aide skills. It was during this time that she realized she wanted to expand her scope of practice and be able to help patients in more ways as a Family Nurse Practitioner. She returned to school and graduated with her Doctorate of Nursing Practice (DNP) from Pacific Lutheran University and earned her Family Nurse Practitioner certification.

After moving all over the world as a military child, she is now happy to call Washington “home” with her husband and children. She enjoys spending her free time running, hiking, mountain biking, and kayaking.

She is looking forward to improving her NP skills and Spanish fluency through Sea Mar’s nurse practitioner residency program. It is her desire to effect positive change in patients’ lives by providing excellent primary care.


Isis Lozano Vazquez
Tacoma Medical

Isis graduated from the University of Wisconsin-Milwaukee with her Bachelor of Science in Nursing in 2014, followed by her Doctorate of Nursing Practice in 2020. She is a first-generation graduate and proud daughter of immigrants that understands the experiences immigrant families face. Translating for her parents during health care appointments at a young age, she quickly saw the disparities that her community faced. She saw a need for Spanish-speaking providers, and this was her initial motivation for entering the profession.

She is a founding member and treasurer of the National Association of Hispanic Nurses-Greater Milwaukee Chapter. She has a passion for teaching and mentoring the younger generation of nurses. While pursuing her doctorate, she served as a teaching assistant for her university. She moved from her hometown of Milwaukee to participate in the Sea Mar Nurse Practitioner Residency program and is excited to provide quality care to the diverse community of Tacoma.

In her spare time, she enjoys watching sports, traveling, and camping. She is very excited to explore Washington and go whale-watching.


Lacey McCarley
Tacoma Medical

Lacey McCarley is a graduate of Oregon Health and Sciences University Family Nurse Practitioner program in 2020. Previously she received a BS in Nursing from Linfield University graduating in 2013. Her experience as a registered nurse was in emergency medicine, working at hospitals in the Portland, Oregon area.
Lacey has a passion for working with underserved populations, in particular patients who are experiencing homelessness. Reducing health disparities and working toward health equity are motivating beliefs for her desire to serve this community. Her experience with homeless healthcare began at Outside In Medical Clinic, an FQHC in Portland, where she worked in administration prior to becoming an RN. The time there taught her of the great need for compassionate and dynamic care for people experiencing homelessness. She feels fortunate to be a founding Board Member of Portland Street Medicine, a nonprofit coordinating a volunteer network that provides basic medical care to people on the streets. She is looking forward to growing and learning with Sea Mar and enjoying the Puget Sound area with her partner and young daughter.

Past Graduates

Lindsey (Parden) Anagnostopoulos, ARNP
Sea Mar Community Health Centers, Everett, WA

Simon Taylor, ARNP

Rachel Query, ARNP
Sea Mar Community Health Centers, White Center, WA

Brooke Powers, ARNP
Sea Mar Community Health Centers, Des Moines, WA

Tara Hayes Constant, ARNP
Sea Mar Community Health Centers, Burien, WA

Christina Gelder, ARNP

Noelle Tripp, ARNP

Wendy Mironov, ARNP
Sea Mar Community Health Centers, Burien, WA

Elena Van Gaver, ARNP
Sea Mar Community Health Centers, Kent, WA

Adrienne Ton, ARNP

Emily Tully, ARNP

Marisa Burgos-Martinez, ARNP

Julia Daining, ARNP

Clinic Highlights

Seattle Medical

Sea Mar’s Seattle Medical clinic was the very first Sea Mar clinic, opening its doors in 1978. Since then, it has continued to be one of the largest Sea Mar clinics, serving an average of 750 patients per week. The Seattle Medical clinic is located conveniently in the South Park neighborhood in South Seattle, in close proximity to many other Sea Mar facilities. Patients are provided same-day access with their primary care providers. Overflow volumes and new patients are seen through an on-site urgent care clinic. The Seattle Medical Clinic has long had a focus on teaching and hosts various training programs, including the Nurse Practitioner Residency since 2015.

Everett Medical

Established in 2012, Sea Mar’s Everett Medical clinic is strategically located in south Everett and reaches patients in north Seattle, Lynnwood, Everett, and the surrounding areas. Same day appointment times are available to allow for urgent care visits with primary care providers. The Everett Medical clinic is located in the same complex as a Sea Mar Pediatric Behavior Health clinic and a Sea Mar Dental clinic, helping provide complete care to all our patients. In 2018, Everett Medical became a satellite clinic for our Sea Mar Marysville MD residents. In 2019, Everett Medical welcomed its first class of ARNP residents.

Tacoma Medical

Sea Mar expanded services to Pierce County in 1994 with the opening of an inpatient alcohol and substance use treatment center in Tacoma. In 1995, Sea Mar opened the Tacoma Medical clinic and the Tacoma Outpatient Behavioral Health clinics. Dental services have been provided in Tacoma since 1997. The 11th Street clinic was opened in 2017 to assist individuals and families experiencing homelessness with primary care, behavioral health, outpatient substance use treatment, case management, and hygiene services. In 2020, Tacoma Medical became the third clinical site for the Sea Mar ARNP residency program.

Patient-centered care is a priority

Care Management and patient-centered care is a priority at Sea Mar. We strive to be a medical home for patients, tracking their health maintenance and addressing their acute concerns. Health outcomes and preventative health services are monitored and tracked, and patients receive assistance in accessing discounted or free services available to them. In the morning, a chronic care coordinator, medical assistant, and occasionally a health educator or integration specialist all “huddle” with providers to identify patients’ health needs, risk factors, and barriers to care. Point of care services can then be arranged, such as education for diabetes, nutrition, and family planning, referral tracking, tobacco cessation, crisis intervention needs, and/or financial and health insurance assistance.

Obstetrical care

Both Sea Mar Seattle Medical and Everett Medical have a long history of high quality and high volume obstetrics. Nurse practitioners and physicians work together to provide quality prenatal and post-partum care.

Procedure clinic

Sea Mar’s attending physicians are paired with a family medicine or nurse practitioner resident during this half-day of appointments designated for procedures at the Seattle Medical clinic. Typical procedures include: toenail excisions, placement and/or removal of long acting contraception, joint injections and aspirations, and skin biopsies/excisions.

Pediatric experience

Pediatric care at the Seattle Medical clinic is overseen by Dr. Cor Van Niel and Dr. Christina Pease. Dr. Van Niel is Journal Watch Editor, Swedish Cherry Hill pediatrics instructor, and Children’s Hospital faculty member and former chief resident. Dr. Pease is one of our general pediatricians. She is currently working with our Health Education department to start a Family Weight Management program. She also supports further integration of Behavioral Health and Care Coordination for our highest risk families. Each Monday, six pediatric physician residents from Seattle Children’s Hospital provide continuity outpatient clinical services at Sea Mar.

Everett Medical has a substantial pediatric population, and Everett ARNP residents will have extensive pediatric exposure onsite during continuity clinic. In addition, residents will have opportunities to work with pediatric specialists Dr. Van Niel and Dr. Pease at Sea Mar Seattle and Marysville, and with Dr. Khan at Sea Mar Monroe for their pediatrics rotation. Dr. Khan completed her residency training at William Beaumont Hospital in Michigan and joined Sea Mar in 2008.

Tacoma Pediatrics

Tacoma residents rotate with two Sea Mar providers to gain valuable experience with the pediatric population. Dr. Darryl Tan precepts at Lakewood Pediatrics, which has been a division of Sea Mar since 2019. Dr. Daniel Kowals travels from his home site of Sea Mar Yelm each month to work with the ARNP residents at Tacoma Medical.

Specialty Care

Sea Mar has been expanding their specialty services available to their patient population in order to improve specialty care access to patients and provide comprehensive, high quality care. All of the NP residents will rotate with various specialties throughout Sea Mar, including gynecology, sports medicine, pediatrics, psychiatry (with a psychiatric nurse practitioner/PMHNP), cardiology, and more. Many of these specialties are located in King County at the White Center Specialty and Seattle Medical clinics.


The Sea Mar Nurse Practitioner Residency is a 12-month long program that gradually progresses to full independent practice.


The well-rounded curriculum of the NP residency was strategically designed to meet a variety of goals, including enhancing clinical skills, efficiency, and team work, completing a special project to give back to the organization, and develop resiliency skills in order to work long-term in a FQHC setting.

Specifically by the end of the program, the NP resident will:

1. Progress from novice to experienced family nurse practitioner in providing care to diverse patient population, with ongoing focus on continued learning

2. Collaborate effectively with interdisciplinary team to provide patient-centered care

3. Improve efficiency to reach daily patient goal of 18 patients/day

4. Contribute to organization and/or patient population through special project

5. Maintain emotional well-being and psychological resiliency, and develop skills and coping strategies to reduce compassion fatigue and provider burnout

6. Continue to work at a FQHC upon graduation from NP residency

Continuity Clinic:

Direct patient care at Seattle or Everett Sea Mar site, with ARNP, PA or MD preceptor on-site

Specialty Rotations:

Internal and External specialty rotations, including sports medicine, gynecology, pediatrics, behavioral health, cardiology, procedures, and urgent care

Independent and Partner Clinics

Direct patient care, working with experienced Sea Mar providers or independently seeing patients (will progress to independent clinic during residency)

Didatic Learning

Formal learning sessions on wide range of topics relevant to primary care and case discussions

Additional Components

  • Community or Quality Improvement project
  • Weekly check-in and Quarterly evaluations
  • Weekly case discussions
  • Twice a month wellness sessions
  • Shared after hours phone call
  • Community events, including health fairs
  • Leadership opportunities
  • Option to add Saturday coverage as independent provider for additional pay


Competitive salary, Full medical, dental, and retirement benefits, Vacation (10 paid holidays and 24 days paid time off),
Loan repayment opportunity after residency graduation.


October 2021 - October 2022   |   Application due March 5, 2021

Eligibility Criteria

  • Recent MSN or DNP graduate from an accredited institution
  • Family Nurse Practitioner board certification by the start of the program
  • Washington state RN and ARNP license by the start of the program
  • Federal DEA certificate eligible
  • Bilingual in Spanish preferred

Important Dates:

  • Application open: Monday, December 1, 2020
  • Virtual NW CAPE Residency Fair November 14, 2020, From 10:00 a.m. to 12:00 p.m. PST
    This will be a residency and fellowship fair for post-graduate training programs in the Pacific Northwest.
    For more information, please email Lenisa Epenesa at LenisaEpenesa@seamarchc.org
  • Virtual Sea Mar NP Residency Q&A Sessions. To participate, please RSVP to Lenisa Epenesa at LenisaEpenesa@seamarchc.org to receive the Zoom meeting link
    - Wednesday, December 16, 2020 4:15 p.m. - 4:45 p.m. PST
    - Wednesday, Jan 6, 2021, 9:00 a.m. - 9:30 a.m. PST
    - a. Third Q&A session on Thursday February 18, 2021, 12:15 p.m. - 12:45 p.m.
        To participate, please RSVP to Lenisa Epenesa at LenisaEpenesa@seamarchc.org to receive the Zoom meeting link
  • Application due: Friday, March 5, 2021
  • Phone interviews March 15-19, 2021
  • Virtual interviews March 22, - April 3, 2021 - Interviews are tentatively scheduled to be done virtually, but may be switched to on-site at the discretion of the interview team
  • Applicant Meet and Greet April 7, 2021 - 12:00 p.m. to 2:00 p.m. PST

Application Components

  1. Curriculum Vitae – please include any clinical rotations/fellowships/preceptorships and five year work history

  2. Two references (one academic, one professional). Please submit contact information (including a current email address) for two references (one academic, one professional). Please ask your references to complete the following online form, in lieu of a letter: https://www.tfaforms.com/4872558

  3. Academic transcript, most recent

  4. Personal statement – 2 pages or less, should address each of the following topics:
    • Goals for future practice, and how our program will help you achieve them
    • Goals for the residency program, which can include specific areas of interest
    • Experience with Spanish language and/or working with underserved, vulnerable populations
    • Strengths and weaknesses, and how these will help you succeed in a residency program and in future practice at a FQHC

  5. Additional questions on the online application:
    • Do you plan to practice as a primary care provider in a FQHC after graduation from the residency program? Yes/No
    • The NP residency now has three locations, Everett Medical, Seattle Medical, and Tacoma Medical. Please check all locations in which you are applying, and include in the comment box your location preference, if any
    • Certifications and Memberships
    • Areas of Interest/Specialty

  6. Complete and upload the Provider Applicant Encounter form
    • For “Location of Interest”, please specify locations where you would be interested in working after completing the residency program
    • For “loan repayment”, please indicate if you would be interested in seeking loan repayment after completing the residency program
Apply Now


Can I use a clinical preceptor for my professional reference?
Yes, a preceptor may submit a professional reference, given that the preceptor knows you well enough to answer questions about your professionalism, leadership, and communication skills. The preferred professional reference is a colleague, supervisor, or preceptor who has worked with you for more than six months.

Do you require official academic transcripts? How should I submit the transcript?
We accept unofficial academic transcripts, submitted electronically (scanned copy) with the online application. We may request an official academic transcript mailed at a later date.

Do you accept pediatric or adult nurse practitioners into your residency program?
No. The Sea Mar NP residency is limited to Family Nurse Practitioners at this time.

I don’t graduate until August, just a few months before the start of the residency. Should I still apply?
Yes. There may be options to schedule your nurse practitioner licensing exams early to allow you to have active Washington State RN and ARNP licenses prior to the start of the program.
I graduated last year. Can I still apply to the residency?
Maybe. The NP residency is meant for new graduates, ideally within 12 months of graduating from your MSN/DNP program and the start of the residency. Applications received from applicants who graduated prior to those 12 months will be considered at the discretion of the application review team.

Is it acceptable to submit letters of recommendation, in addition to the references who will complete the online forms?
The reference forms are what are included in the application review scoring rubric (the standard way we review all applications). Any additional information received from references (such as a letter of recommendation in addition to the two form references) could be used to get to know you better. However, any extraneous items received will be reviewed at the discretion of the application review team (i.e. reviewers may opt not to look at non-essential documents).

I’m interested in either location. Where would I interview?
Due to COVID-19, the interview team will be completing virtual interviews for the 2021-2022 class. Applicants will have the option to rank their preferred sites. The applicant “Meet and Greet” will be virtual.


Sea Mar CHC, Seattle Medical Clinic
Attn: Patricia Cleveland, ARNP
8720 14th Ave S
Seattle, WA 98108


National Nurse Practitioner Residency and
Fellowship Training Consortium,
3509 Connecticut Ave, NW PBN 1121
Washington, DC 20008
P: 202.780.9651