Active NPI
Cara Jean Mori, LMP
- Specialist
- Shoreline, WA
National Provider Identifier
1043446412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60035084
- Practice address
- 15027 Aurora Ave N
Shoreline, WA 98133-6134 - Phone
- (206) 362-3520
- Fax
- (206) 362-3521
- NPI assigned
- May 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60035084 | WA | Primary |
Addresses
Primary practice location
15027 Aurora Ave N
Shoreline, WA 98133-6134
Mailing address
15027 Aurora Ave N
Shoreline, WA 98133-6134
Phone (206) 362-3520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA60035084 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA60035084 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James S Park | Specialist | 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": "1243555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243555200000",
"number": "1043446412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15027 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981336134",
"telephone_number": "206-362-3520",
"fax_number": "206-362-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15027 AURORA AVE N",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981336134",
"telephone_number": "206-362-3520",
"fax_number": "206-362-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORI",
"first_name": "CARA",
"middle_name": "JEAN",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-29",
"last_updated": "2009-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60035084",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "MA60035084",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Shoreline, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.