Individual provider Active NPI

Pauline Louise Bartle, M.D.

  • Psychiatry Physician
  • Lopez Island, WA
National Provider Identifier
1114939329
Registry record updated Nov 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD60231384 Issued in WA
Practice address
214 Lopez Rd. Suite 114
Lopez Island, WA 98261
Phone
(360) 622-2283
Fax
(206) 258-3365
NPI assigned
Aug 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD60231384 WA Primary

Addresses

Primary practice location

214 Lopez Rd. Suite 114
Lopez Island, WA 98261

Mailing address

PO Box 886
Lopez Island, WA 98261
Phone (360) 622-2283

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)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541635200000",
    "number": "1114939329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 886",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "98261",
            "telephone_number": "360-622-2283",
            "fax_number": "206-258-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LOPEZ RD. SUITE 114",
            "city": "LOPEZ ISLAND",
            "state": "WA",
            "postal_code": "98261",
            "telephone_number": "360-622-2283",
            "fax_number": "206-258-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTLE",
        "first_name": "PAULINE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2018-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD60231384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lopez Island, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.