Active NPI
Lara Mills, LMP
- Contractor
- Arlington, WA
National Provider Identifier
1073810818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- MA 20895
- Practice address
- 437 N Olympic Ave Ste C
Arlington, WA 98223-1299 - Phone
- (360) 403-3075
- NPI assigned
- Feb 14, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | MA 20895 | WA | Primary |
Addresses
Primary practice location
437 N Olympic Ave Ste C
Arlington, WA 98223-1299
Mailing address
10114 129TH St NE
Arlington, WA 98223-8819
Phone (425) 760-8588
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 20895 | WA | MD | Contractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Kawafune | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Arlington, WA
- NPI 1891918678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297641600000",
"number": "1073810818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10114 129TH ST NE",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982238819",
"telephone_number": "425-760-8588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "437 N OLYMPIC AVE STE C",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982231299",
"telephone_number": "360-403-3075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLS",
"first_name": "LARA",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-14",
"last_updated": "2011-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "WA",
"license": "MA 20895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.