Individual provider Active NPI

Katrin Goto, R.PH, ND

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1093054520
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NT60321386 Issued in WA
Practice address
1029 109TH Ave SE
Bellevue, WA 98004-6819
Phone
(425) 922-9169
NPI assigned
Feb 4, 2013
Last updated
Feb 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40716 WA
Family Medicine Physician 207Q00000X NT60321386 WA Primary

Addresses

Primary practice location

1029 109TH Ave SE
Bellevue, WA 98004-6819

Mailing address

1029 109TH Ave SE
Bellevue, WA 98004-6819
Phone (425) 922-9169

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
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
40716WAMDPharmacist
NT60321386WAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359936000000",
    "number": "1093054520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 109TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046819",
            "telephone_number": "425-922-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 109TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980046819",
            "telephone_number": "425-922-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTO",
        "first_name": "KATRIN",
        "name_prefix": "Dr.",
        "credential": "R.PH, ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "40716",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "NT60321386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.