Organization Active NPI

Seattle University

Doing business as Bessie Burton Sullivan Skilled Nursing Residence

  • Skilled Nursing Facility
  • Seattle, WA
National Provider Identifier
1033106646
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH 1057 Issued in WA
Legal business name
SEATTLE UNIVERSITY
Doing business as
Bessie Burton Sullivan Skilled Nursing Residence
Practice address
1020 E Jefferson St
Seattle, WA 98122-5336
Phone
(206) 323-1028
Fax
(206) 323-8861
NPI assigned
Sep 29, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan R Steiner
Title
Director of Finance
Phone
(206) 323-1028

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH 1057 WA Primary

Addresses

Primary practice location

1020 E Jefferson St
Seattle, WA 98122-5336

Mailing address

1020 E Jefferson St
Seattle, WA 98122-5336
Phone (206) 323-1028

Other identifiers 1

IdentifierTypeStateIssuer
4110573MedicaidWA

Other names 1

  • Bessie Burton Sullivan Skilled Nursing Residence Doing business as

National Provider Directory

National Provider Directory

Locations

1020 E Jefferson St
Seattle, WA 98122
Phone (206) 214-7598

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033106646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 E JEFFERSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225336",
            "telephone_number": "206-323-1028",
            "fax_number": "206-323-8861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E JEFFERSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225336",
            "telephone_number": "206-323-1028",
            "fax_number": "206-323-8861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEINER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "206-323-1028"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WA",
            "license": "NH 1057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4110573",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bessie Burton Sullivan Skilled Nursing Residence",
            "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 Aug 22, 2020; 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.