Organization Active NPI

Deborah Seidel Arnp, Inc., PS

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1073945960
Registry record updated Aug 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30004064 Issued in WA
Legal business name
DEBORAH SEIDEL ARNP, INC., PS
Practice address
6534 4TH Ave NE
Suite #103
Seattle, WA 98115-6440
Phone
(206) 654-6699
Fax
(206) 523-0590
NPI assigned
Aug 2, 2013
Last updated
Aug 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2013

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

Authorized official

Name
Ms. Deborah Lynn Seidel, ARNPNPI 1992736847
Title
President
Phone
(206) 654-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X AP30004064 WA Primary

Addresses

Primary practice location

6534 4TH Ave NE
Suite #103
Seattle, WA 98115-6440

Mailing address

4729 S Brandon St
Seattle, WA 98118-2357
Phone (206) 654-6699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140217000928 WA Part B Supplier - Clinic/Group Practice 5799914768 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

National Provider Directory

National Provider Directory

Locations

1900 N Northlake Way
Ste 127
Seattle, WA 98103
Phone (206) 632-9522

7812 Lake City Way NE
#3
Seattle, WA 98115
Phone (206) 654-6699

9730 3rd Ave NE
Ste 101
Seattle, WA 98115
Phone (206) 522-5243

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1073945960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4729 S BRANDON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981182357",
            "telephone_number": "206-654-6699",
            "fax_number": "206-523-0590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6534 4TH AVE NE",
            "address_2": "SUITE #103",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981156440",
            "telephone_number": "206-654-6699",
            "fax_number": "206-523-0590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORAH SEIDEL ARNP, INC., PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "SEIDEL",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-654-6699",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30004064",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.