Active NPI
Kathleen Miller-Read, LMP
- Specialist
- Seattle, WA
National Provider Identifier
1063635969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00013270
- Practice address
- 6823 Oswego PL NE
Suite #1
Seattle, WA 98115-8415 - Phone
- (206) 527-9709
- Fax
- (206) 526-2991
- NPI assigned
- Apr 10, 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00013270 | WA | Primary |
Addresses
Primary practice location
6823 Oswego PL NE
Suite #1
Seattle, WA 98115-8415
Mailing address
20141 Forest Park Dr NE
Shoreline, WA 98155-1152
Phone (206) 782-9121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20-1631890 | Other | WA | TAX ID # |
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
- Credentials
- Master of Theology
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA00013270 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063635969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20141 FOREST PARK DR NE",
"city": "SHORELINE",
"state": "WA",
"postal_code": "981551152",
"telephone_number": "206-782-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6823 OSWEGO PL NE",
"address_2": "SUITE #1",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158415",
"telephone_number": "206-527-9709",
"fax_number": "206-526-2991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER-READ",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00013270",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "20-1631890",
"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 Jul 8, 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.