Active NPI
Lourdes C Limbo, P.A.
- Physician Assistant
- Seattle, WA
National Provider Identifier
1053429597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA10001598
- Practice address
- 720 8TH Ave S
Suite 100
Seattle, WA 98104-3032 - Phone
- (206) 788-3730
- NPI assigned
- Aug 25, 2006
- Last updated
- Oct 29, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA10001598 | WA | Primary |
Addresses
Primary practice location
720 8TH Ave S
Suite 100
Seattle, WA 98104-3032
Mailing address
PO Box 24911
Seattle, WA 98124-0911
Phone (206) 788-3683
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LI8116 | Other | REGENCE BLUESHIELD | |
| 8373557 | Medicaid | WA | |
| 132435 | Other | WA | L&I |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA10001598 | WA | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1053429597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 24911",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981240911",
"telephone_number": "206-788-3683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 8TH AVE S",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981043032",
"telephone_number": "206-788-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIMBO",
"first_name": "LOURDES",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA10001598",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "LI8116",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8373557",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "132435",
"state": "WA"
}
],
"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 Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.