Active NPI
Nancy L Niles II, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Seattle, WA
National Provider Identifier
1144258435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD00017593
- Practice address
- 2611 NE 125TH St
Suite 90
Seattle, WA 98125-4373 - Phone
- (206) 362-0035
- Fax
- (206) 362-6927
- NPI assigned
- Jun 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00017593 | WA | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD00017593 | WA | Primary |
Addresses
Primary practice location
2611 NE 125TH St
Suite 90
Seattle, WA 98125-4373
Mailing address
2611 NE 125TH St #90
Seattle, WA 98125-4357
Phone (206) 362-0035
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022425 | Medicaid | WA | |
| 110018087 | Other | WA | RR MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert Kanter MD Inc PS | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Seattle, WA
- NPI 1134167026
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1428278400000",
"number": "1144258435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST #90",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254357",
"telephone_number": "206-362-0035",
"fax_number": "206-362-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2611 NE 125TH ST",
"address_2": "SUITE 90",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981254373",
"telephone_number": "206-362-0035",
"fax_number": "206-362-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILES",
"first_name": "NANCY",
"middle_name": "L",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-28",
"last_updated": "2015-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MD00017593",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WA",
"license": "MD00017593",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022425",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110018087",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.