Active NPI
Lifespan Biosciences
- Specialist
- Seattle, WA
National Provider Identifier
1053865006
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00023312
- Legal business name
- LIFESPAN BIOSCIENCES
- Practice address
- 2401 4TH Ave
Suite 900
Seattle, WA 98121-3419 - Phone
- (206) 464-1554
- Fax
- (206) 464-1723
- NPI assigned
- Aug 8, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glenna C Burmer, M.D.
- Title
- Chief Scientific Officer
- Phone
- (206) 464-1554
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00023312 | WA | Primary |
Addresses
Primary practice location
2401 4TH Ave
Suite 900
Seattle, WA 98121-3419
Mailing address
2401 4TH Ave
Suite 900
Seattle, WA 98121-3419
Phone (206) 464-1554
National Provider Directory
National Provider DirectoryLocations
2401 4th Ave
Ste 900
Seattle, WA 98121
Phone (206) 464-1554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1470614400000",
"number": "1053865006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 4TH AVE",
"address_2": "SUITE 900",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981213419",
"telephone_number": "206-464-1554",
"fax_number": "206-464-1723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 4TH AVE",
"address_2": "SUITE 900",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981213419",
"telephone_number": "206-464-1554",
"fax_number": "206-464-1723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFESPAN BIOSCIENCES",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A",
"authorized_official_last_name": "BURMER",
"authorized_official_first_name": "GLENNA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CHIEF SCIENTIFIC OFFICER",
"authorized_official_telephone_number": "206-464-1554",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MD00023312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Life in Balance Physical Therapy and Pilates, LLC
- Lifelong Health for All
- Lifelong Health for All (Washington Care Coorindation Services Group)
- Lifelong Health for All
- Lifepath Transformational Coaching
- Hannah Lifszyc, M.S., CCC-SLP
- Paul Kevin Ligad, CRNA, ARNP
- Charles Lawson Liggett, MS, LAT, ATC
- Jane Liggett, RN
- Rebecca Lee Liggett
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.