Lakeview of Kirkland

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

LAKEVIEW OF KIRKLAND

Practice address

6505 Lakeview Dr
Kirkland, WA 98033-6953

Phone

(425) 803-6911

NPI assigned

Jan 24, 2019

Organization subpart

Yes

Parent organization

WELLTOWER PEGASUS TENANT, LLCAs reported in NPPES

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

Authorized official

Name

Allison Anderson

Title

Executive Director

Phone

(425) 803-6911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lakeview of Kirkland Doing business as

Part of

Lakeview of Kirkland

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1063976926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 LAKEVIEW DR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336953",
            "telephone_number": "425-803-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 LAKEVIEW DR",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980336953",
            "telephone_number": "425-803-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW OF KIRKLAND",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WELLTOWER PEGASUS TENANT, LLC",
        "enumeration_date": "2019-01-24",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "425-803-6911"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2482",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeview of Kirkland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Lake
• Brianna Deshai Lakes, PT, DPT
• Lakeshore Clinic PLLC
• Lakeside Recovery Centers Inc
• Lakeside Recovery Centers Inc
• Margarita Lalayan
• Peter J Lallas, D.P.M.
• Rodney Lam
• Sam Lamb
• Jordan Paige Lambert

• All providers in Kirkland, WA
• Assisted Living Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.