Duffy I, LP

Primary specialty

Rehabilitation HospitalTaxonomy code 283X00000X

License

AH-002 Issued in WA

Legal business name

DUFFY I, LP

Doing business as

Schick Shadel Hospital

Practice address

12101 Ambaum Blvd SW
Burien, WA 98146-2651

Phone

(206) 244-8100

Fax

(206) 431-9142

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. June Elaine Oksendahl

Title

Administrator

Phone

(206) 244-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Schick Shadel Hospital Doing business as

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164538062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12101 AMBAUM BLVD SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98146",
            "telephone_number": "206-244-8100",
            "fax_number": "206-431-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12101 AMBAUM BLVD SW",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981462651",
            "telephone_number": "206-244-8100",
            "fax_number": "206-431-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUFFY I, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OKSENDAHL",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-244-8100",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "283X00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Hospital",
            "state": "WA",
            "license": "AH-002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREMERA",
            "identifier": "170",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schick Shadel Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dr. Snowden M Booth
• DRX Wa Urgent Care Providers PLLC
• DRX Wa Urgent Care Providers, PLLC
• Gabrielle Suzanne Dryden
• Jessica Michel Duerr, LMP
• Duffy Physicians, P.S.
• Danielle Dugas
• Sopalla Dul
• Christopher W. Duncan, M.D.
• Kimberly A Dunn-Hawthorne, RN

• Rehabilitation Hospital in Burien, WA
• Providers in Burien, WA by specialty
• Rehabilitation Hospital in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.