Individual provider Active NPI

Catherine Jean Allis, LMP

  • Specialist
  • Federal Way, WA
National Provider Identifier
1184810756
Registry record updated Apr 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00021991 Issued in WA
Practice address
32425 2ND PL S
Federal Way, WA 98003-5773
Phone
(253) 278-9383
NPI assigned
Sep 18, 2007
Last updated
Apr 1, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00021991 WA Primary

Addresses

Primary practice location

32425 2ND PL S
Federal Way, WA 98003-5773

Mailing address

32425 2ND PL S
Federal Way, WA 98003-5773
Phone (253) 278-9383

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA00021991WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238544000000",
    "number": "1184810756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32425 2ND PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035773",
            "telephone_number": "253-278-9383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32425 2ND PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980035773",
            "telephone_number": "253-278-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLIS",
        "first_name": "CATHERINE",
        "middle_name": "JEAN",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00021991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2009; 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.