Deep Brain Stimulation TR

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

DEEP BRAIN STIMULATION TR

Practice address

1560 N 115TH St
Suite G-5
Seattle, WA 98133-8414

Phone

(206) 368-5935

Fax

(206) 368-5934

NPI assigned

Dec 2, 2009

Last updated

Apr 4, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Charles William Schneider

Title

Ceo

Phone

(206) 368-1700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1063740058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST",
            "address_2": "SUITE G-5",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-368-5935",
            "fax_number": "206-368-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST",
            "address_2": "SUITE G-5",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-368-5935",
            "fax_number": "206-368-5934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEEP BRAIN STIMULATION TR",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "SCHNEIDER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "206-368-1700"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Deeken, LMHCA
• Michaelene W Deelstra, ARNP
• Steven A Deem, M.D.
• Jason Deen, M.D.
• Shaun Ansara Deen, M.D.
• Deep Roots Therapy, PLLC
• Eric Deeter
• Eugene Vincent Defelice
• Katlyn Deforest, MA, LMHC
• Bryan T Deforrest, M.A.

• Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.