Active NPI
Carol Cordy, MD
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1164532461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00022225
- Practice address
- 1629 N 45TH St
Seattle, WA 98103-6701 - Phone
- (206) 633-3350
- Fax
- (206) 633-3113
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00022225 | WA | Primary |
Addresses
Primary practice location
1629 N 45TH St
Seattle, WA 98103-6701
Mailing address
905 Spruce St
Ste. 300
Seattle, WA 98104-2474
Phone (206) 461-6935
Other practice location 1
1401 Madison St Ste 100
Seattle, WA 98104-1316
Phone (206) 386-6111
Other practice location 2
1801 NW Market St Ste 403
Seattle, WA 98107-3901
Phone (206) 297-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8105728 | Medicaid | WA |
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
Interoperability endpoints
- ccordy1041383@wm.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1164532461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 SPRUCE ST",
"address_2": "STE. 300",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981042474",
"telephone_number": "206-461-6935",
"fax_number": "206-461-8382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1629 N 45TH ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981036701",
"telephone_number": "206-633-3350",
"fax_number": "206-633-3113"
}
],
"practiceLocations": [
{
"address_1": "1401 Madison St Ste 100",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981041316",
"country_code": "US",
"telephone_number": "206-386-6111",
"fax_number": "206-386-6113",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1801 NW Market St Ste 403",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981073901",
"country_code": "US",
"telephone_number": "206-297-5100",
"fax_number": "206-297-5151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDY",
"first_name": "CAROL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00022225",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8105728",
"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 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.