Individual provider Active NPI

Jill Rosetta Varni, M.D.

  • Obstetrics & Gynecology Physician
  • Bellevue, WA
National Provider Identifier
1003184839
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
025209 MD00017190 Issued in WA
Practice address
9923 Lake Washington Blvd NE
Bellevue, WA 98004-6068
Phone
(425) 505-2159
NPI assigned
Dec 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 025209 MD00017190 WA Primary

Addresses

Primary practice location

9923 Lake Washington Blvd NE
Bellevue, WA 98004-6068

Mailing address

9923 Lake Washington Blvd NE
Bellevue, WA 98004-6068
Phone (425) 505-2159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025209 MD00017190WAMDObstetrics & Gynecology Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1003184839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9923 LAKE WASHINGTON BLVD NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046068",
            "telephone_number": "425-505-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9923 LAKE WASHINGTON BLVD NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046068",
            "telephone_number": "425-505-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARNI",
        "first_name": "JILL",
        "middle_name": "ROSETTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "025209 MD00017190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.