Creekside Sleep Medicine Center PLLC

Primary specialty

Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X

Legal business name

CREEKSIDE SLEEP MEDICINE CENTER PLLC

Practice address

1380 112TH Ave NE Ste 307
Bellevue, WA 98004-3759

Phone

(425) 278-2250

Fax

(425) 562-5885

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa E Jacobs, M.D.

Title

Medical Director

Phone

(425) 278-2250

Specialties & licenses 1

Addresses

Tax ID family

Creekside Sleep Medicine Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Creekside Sleep Medicine Center PLLC

  • Sleep Medicine (Internal Medicine) Physician
  • Bellevue, WA
  • NPI 1154667475
  NPD tax ID

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3626/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1134464993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 112TH AVE NE STE 307",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043759",
            "telephone_number": "425-278-2250",
            "fax_number": "425-562-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 112TH AVE NE STE 307",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043759",
            "telephone_number": "425-278-2250",
            "fax_number": "425-562-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE SLEEP MEDICINE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-278-2250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karuna Ruth Craig, L.AC
• James Richard Cramer, PT
• Cranial Technologies, Inc.
• Lori Craw
• Shirley Crawford, M.S.W., LICSW
• Creekside Sleep Medicine Center PLLC
• Creekside Sleep Medicine Center PLLC
• Megan Crenshaw, MD
• Lynda A. Crescenzi, PA-C
• Crystal N Cressey, LMFT

• Sleep Medicine (Internal Medicine) Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Sleep Medicine (Internal Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.