Organization Active NPI

Eastside Women's Health & Lactation, PLLC

  • Ambulatory Family Planning Facility
  • Kirkland, WA
National Provider Identifier
1063830586
Registry record updated Apr 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
BUS19862 Issued in WA
Legal business name
EASTSIDE WOMEN'S HEALTH & LACTATION, PLLC
Practice address
13128 Totem Lake Blvd NE
Suite104
Kirkland, WA 98034-2953
Phone
(425) 814-2045
Fax
(425) 814-2783
NPI assigned
Apr 1, 2014
Last updated
Apr 1, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2014

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

Authorized official

Name
Mrs. Kristina Chamberlain, CNM, ARNP
Title
Owner
Phone
(425) 814-2045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X BUS19862 WA Primary

Addresses

Primary practice location

13128 Totem Lake Blvd NE
Suite104
Kirkland, WA 98034-2953

Mailing address

13128 Totem Lake Blvd NE
Suite104
Kirkland, WA 98034-2953
Phone (425) 814-2045

National Provider Directory

National Provider Directory
Tax ID family
Eastside Women's Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396310400000",
    "number": "1063830586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "SUITE104",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-814-2045",
            "fax_number": "425-814-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13128 TOTEM LAKE BLVD NE",
            "address_2": "SUITE104",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980342953",
            "telephone_number": "425-814-2045",
            "fax_number": "425-814-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTSIDE WOMEN'S HEALTH & LACTATION, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2014-04-01",
        "status": "A",
        "authorized_official_last_name": "CHAMBERLAIN",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-814-2045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CNM, ARNP"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "WA",
            "license": "BUS19862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; 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.