NPIMap

Organization Active NPI

Washington Institute for Coagulation

  • Hematology (Internal Medicine) Physician
  • Seattle, WA
National Provider Identifier
1164082384
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
Legal business name
WASHINGTON INSTITUTE FOR COAGULATION
Practice address
701 Pike St Ste 1900
Seattle, WA 98101-3932
Phone
(206) 614-1200
Fax
(206) 614-1170
NPI assigned
Jun 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Dr. Rebecca Kruse-Jarres, MDNPI 1720171937
Title
Executive Officer
Phone
(206) 614-1200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0000X Primary

Addresses

Primary practice location

701 Pike St Ste 1900
Seattle, WA 98101-3932

Mailing address

701 Pike St Ste 1900
Seattle, WA 98101-3932
Phone (206) 614-1200

Other names 1

  • WASHINGTON CENTER FOR BLEEEDING DISORDERS Doing business as

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address RebeccaKr@bloodworksnw.org Direct
Direct Messaging Address Marysp@bloodworksnw.org Direct
Direct Messaging Address mary.spisak@wacbd.org Direct
Direct Messaging Address rkj@wacbd.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191121003194 WA Part B Supplier - Clinic/Group Practice 0244662740 Receives reassigned benefits from 8 practitioners
1 other NPI on this enrollment
Practice locations: Seattle, WA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Washington Institute for Coagulation2 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.

Locations

701 Pike St
Ste 1900
Seattle, WA 98101
Phone (206) 614-1128

Interoperability endpoints

  • Direct secure messaging: marysp@bloodworksnw.org

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1164082384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PIKE ST STE 1900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013932",
            "telephone_number": "206-614-1200",
            "fax_number": "206-614-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 PIKE ST STE 1900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981013932",
            "telephone_number": "206-614-1200",
            "fax_number": "206-614-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON INSTITUTE FOR COAGULATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "KRUSE-JARRES",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "206-614-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "RebeccaKr@bloodworksnw.org",
            "affiliation": "N",
            "endpointDescription": "RebeccaKr@bloodworksnw.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "921 Terry Ave",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981041239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Marysp@bloodworksnw.org",
            "affiliation": "N",
            "endpointDescription": "Marysp@bloodworksnw.org",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "921 Terry Ave",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981041239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.spisak@wacbd.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Pike St Ste 1900",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981013932",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rkj@wacbd.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Pike St Ste 1900",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981013932",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WASHINGTON CENTER FOR BLEEEDING DISORDERS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "WASHINGTON CENTER FOR BLEEEDING DISORDERS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.