Active NPI
Sally H. Kim-Miller, M.D.
- Ophthalmology Physician
- Seattle, WA
National Provider Identifier
1154497154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 21601
- Practice address
- 1626 Federal Ave E
Seattle, WA 98102-4235 - Phone
- (206) 329-1526
- Fax
- (206) 329-1871
- NPI assigned
- Nov 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 21601 | WA | Primary |
Addresses
Primary practice location
1626 Federal Ave E
Seattle, WA 98102-4235
Mailing address
1626 Federal Ave E
Seattle, WA 98102-4235
Phone (206) 329-1526
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21601 | WA | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154497154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1626 FEDERAL AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981024235",
"telephone_number": "206-329-1526",
"fax_number": "206-329-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 FEDERAL AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981024235",
"telephone_number": "206-329-1526",
"fax_number": "206-329-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM-MILLER",
"first_name": "SALLY",
"middle_name": "H.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WA",
"license": "21601",
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.