Active NPI
Blaze Creature
- Student in an Organized Health Care Education/Training Program
- Seattle, WA
National Provider Identifier
1033845367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2103 S Atlantic St Apt 309
Seattle, WA 98144-3615 - Phone
- (206) 329-2050
- NPI assigned
- Jul 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2103 S Atlantic St Apt 309
Seattle, WA 98144-3615
Mailing address
215 S Orcas St
Seattle, WA 98108-2442
Phone (206) 317-7555
Other names 1
- Isabelle Zimmerman
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688256000000",
"number": "1033845367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 S ORCAS ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981082442",
"telephone_number": "206-317-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2103 S ATLANTIC ST APT 309",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981443615",
"telephone_number": "206-329-2050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREATURE",
"first_name": "BLAZE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-28",
"last_updated": "2023-07-02",
"certification_date": "2023-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ISABELLE",
"last_name": "ZIMMERMAN",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.