Individual provider Active NPI

Johanna H Vanbelle, M.D.

  • General Practice Physician
  • Seattle, WA
National Provider Identifier
1023355427
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD 00014251 Issued in WA
Practice address
2150 N 122ND St
Seattle, WA 98133-8524
Phone
(206) 363-4105
Fax
(206) 363-1723
NPI assigned
Jan 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MD 00014251 WA Primary

Addresses

Primary practice location

2150 N 122ND St
Seattle, WA 98133-8524

Mailing address

2150 N 122ND St
Seattle, WA 98133-8524
Phone (206) 363-4105

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
MD 00014251WAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lahai Health Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1023355427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N 122ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338524",
            "telephone_number": "206-363-4105",
            "fax_number": "206-363-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N 122ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338524",
            "telephone_number": "206-363-4105",
            "fax_number": "206-363-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANBELLE",
        "first_name": "JOHANNA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WA",
            "license": "MD 00014251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.