Active NPI
Deborah Yachun XI
- Student in an Organized Health Care Education/Training Program
- Seattle, WA
National Provider Identifier
1194269530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- IR60594061
- Practice address
- 1929 Queen Anne Ave N
Seattle, WA 98109-2549 - Phone
- (206) 285-1737
- NPI assigned
- Dec 4, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IR60594061 | WA | Primary |
Addresses
Primary practice location
1929 Queen Anne Ave N
Seattle, WA 98109-2549
Mailing address
1929 Queen Anne Ave N
Seattle, WA 98109-2549
Phone (206) 285-1737
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
| License | State | Type | Specialty |
|---|---|---|---|
| IR60594061 | WA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488758400000",
"number": "1194269530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1929 QUEEN ANNE AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092549",
"telephone_number": "206-285-1737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1929 QUEEN ANNE AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981092549",
"telephone_number": "206-285-1737"
}
],
"practiceLocations": [],
"basic": {
"last_name": "XI",
"first_name": "DEBORAH",
"middle_name": "YACHUN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-12-04",
"last_updated": "2017-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": "IR60594061",
"primary": true
}
],
"identifiers": [],
"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 Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.