Individual provider Active NPI

Julie Rebecca Kaswick, M.D.

  • Pediatric Critical Care Medicine Physician
  • Spokane, WA
National Provider Identifier
1093056798
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
60958493 Issued in WA
Practice address
101 W 8TH Ave
Spokane, WA 99204
Phone
(509) 474-3131
NPI assigned
Mar 6, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine Physician 2080P0203X 60958493 WA Primary
Pediatrics Physician 208000000X A124612 CA

Addresses

Primary practice location

101 W 8TH Ave
Spokane, WA 99204

Mailing address

35 W 8TH Ave Ste 442
Spokane, WA 99204-2361
Phone (509) 456-6556

Other practice location 1

4650 Sunset Blvd
Ms #68
Los Angeles, CA 90027
Phone (323) 361-2122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140815002150 CA Practitioner - Emergency Medicine 5092932939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A124612CAMDPediatrics Physician
60958493WAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Children's Hospital Los Angeles Medical Group, Inc. Pediatrics CurrentSince Jul 1, 2014 Accepting new patients
Children's Hospital Los Angeles Past Accepting new patients
Pediatrix Medical Group of Washington Inc PS Pediatric Critical Care Medicine PastSince Oct 27, 2019 Accepting new patients
Providence Health & Services - Wa Past Accepting new patients

Locations

4650 W Sunset Blvd
#68
Los Angeles, CA 90027
Phone (323) 361-2122

4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122

4650 W Sunset Blvd
#113
Los Angeles, CA 90027
Phone (323) 361-2109

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1093056798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 W 8TH AVE STE 442",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042361",
            "telephone_number": "509-456-6556",
            "fax_number": "509-455-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 W 8TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99204",
            "telephone_number": "509-474-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 Sunset Blvd",
            "address_2": "MS #68",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90027",
            "country_code": "US",
            "telephone_number": "323-361-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASWICK",
        "first_name": "JULIE",
        "middle_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WA",
            "license": "60958493",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A124612",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.