NPIMap

Organization Active NPI

Washington Institute for Coagulation

  • Community/Retail Pharmacy
  • Seattle, WA
National Provider Identifier
1023678240
Registry record updated Apr 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WASHINGTON INSTITUTE FOR COAGULATION
Doing business as
WA Center for Bleeding Disorder Pharmacy
Practice address
701 Pike St Ste 1900
Seattle, WA 98101-3932
Phone
(206) 614-1200
Fax
(206) 614-1700
NPI assigned
Jun 19, 2019
Organization subpart
Yes
Parent organization
WA INSTITUTE FOR COAGULATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2021

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

Authorized official

Name
Dr. Rebecca Kruse-Jarres, MDNPI 1720171937
Title
Executive Officer
Phone
(206) 614-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Specialty Pharmacy 3336S0011X

Addresses

Primary practice location

701 Pike St Ste 1900
Seattle, WA 98101-3932

Mailing address

701 Pike St Ste 1900
Seattle, WA 98101-3932
Phone (206) 614-1200

Other identifiers 1

IdentifierTypeStateIssuer
1023678240MedicaidWA

Other names 1

  • WA Center for Bleeding Disorder Pharmacy Doing business as

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Rebeccakr@bloodworksnw.org Direct
Direct Messaging Address Marysp@bloodworksnw.org Direct
Direct Messaging Address rkj@wacbd.org Direct
Direct Messaging Address mary.spisak@wacbd.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20191121003194 WA Part B Supplier - Clinic/Group Practice 0244662740 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Seattle, WA
O20210122000331 WA Part B Supplier - Pharmacy 0244662740 Practice locations: Seattle, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Washington Institute for Coagulation2 organizations share this tax ID, including this one
Part of
Washington Institute for Coagulation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

921 Terry Ave
Ste 214
Seattle, WA 98104
Phone (206) 689-6374

Interoperability endpoints

  • Direct secure messaging: rebeccakr@bloodworksnw.org

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618358400000",
    "number": "1023678240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PIKE ST STE 1900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013932",
            "telephone_number": "206-614-1200",
            "fax_number": "206-614-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PIKE ST STE 1900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013932",
            "telephone_number": "206-614-1200",
            "fax_number": "206-614-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON INSTITUTE FOR COAGULATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WA INSTITUTE FOR COAGULATION",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A",
        "authorized_official_last_name": "KRUSE-JARRES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "206-614-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023678240",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebeccakr@bloodworksnw.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "921 Terry Ave",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981041239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marysp@bloodworksnw.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "921 Terry Ave",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981041239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkj@wacbd.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Pike St Ste 1900",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981013932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.spisak@wacbd.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Pike St Ste 1900",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981013932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WA Center for Bleeding Disorder Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WA Center for Bleeding Disorder Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.