Karen Lynne Miller, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00033224 Issued in WA

Practice address

17191 Bothell Way NE
Suite 205
Lake Forest Park, WA 98155-5534

Phone

(206) 364-8272

Fax

(206) 364-5418

NPI assigned

Jun 6, 2007

Last updated

Aug 13, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Karen Lynne Reese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peninsula Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Port Orchard, WA
  • NPI 1205886934

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439424000000",
    "number": "1093918195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE",
            "address_2": "SUITE 205",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104203",
            "telephone_number": "360-479-4580",
            "fax_number": "360-479-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17191 BOTHELL WAY NE",
            "address_2": "SUITE 205",
            "city": "LAKE FOREST PARK",
            "state": "WA",
            "postal_code": "981555534",
            "telephone_number": "206-364-8272",
            "fax_number": "206-364-5418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "KAREN",
        "middle_name": "LYNNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2015-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00033224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "GAB25977",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8018368",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "REESE",
            "middle_name": "LYNNE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca Carolyn Langseth
• Linda Renee Lusk-Fauquet, ARNP
• Cristina Nadine Maldonado, MSW
• Kieran Joseph McManimon, LMP
• Bent M Meyer, MA, LMHC
• Molecular Epidemiology Inc (Diagnostics Reference Laboratory)
• Amanda Francisca Napitupulu, LMHC
• Thomas Ndamele, PHARM.D.
• Abigail Nelson, LMHCA
• Leslie S Newton, MD

• Internal Medicine Physician in Lake Forest Park, WA
• Providers in Lake Forest Park, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2015; 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.