Creekside Sleep Medicine Center PLLC

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

Legal business name

CREEKSIDE SLEEP MEDICINE CENTER PLLC

Practice address

1380 112TH Ave NE
#307
Bellevue, WA 98004-3759

Phone

(425) 278-2250

Fax

(425) 562-5885

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa E. Jacobs, M.D.

Title

Medical Director

Phone

(425) 278-2250

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1184841256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 112TH AVE NE",
            "address_2": "#307",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043759",
            "telephone_number": "425-278-2250",
            "fax_number": "425-562-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 112TH AVE NE",
            "address_2": "#307",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043759",
            "telephone_number": "425-278-2250",
            "fax_number": "425-562-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEKSIDE SLEEP MEDICINE CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "425-278-2250",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "WA",
            "license": "602620178",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI",
            "identifier": "602620178",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cranial Technologies, Inc.
• Lori Craw
• Shirley Crawford, M.S.W., LICSW
• Creekside Sleep Medicine Center PLLC
• Creekside Sleep Medicine Center PLLC
• Megan Crenshaw, MD
• Lynda A. Crescenzi, PA-C
• Crystal N Cressey, LMFT
• Nicholas Crimp, MA, LMHCA
• Melodee Crisanto

• Sleep Medicine (Family Medicine) Physician in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Sleep Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.