Individual provider Active NPI

Linda Luster, M.D.

  • Psychiatry Physician
  • Seattle, WA
National Provider Identifier
1194896688
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD00017884 Issued in WA
Practice address
200 W Mercer St
Suite 515
Seattle, WA 98119-3995
Phone
(206) 284-6907
Fax
(206) 282-2614
NPI assigned
Nov 13, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD00017884 WA Primary

Addresses

Primary practice location

200 W Mercer St
Suite 515
Seattle, WA 98119-3995

Mailing address

381 NW 112TH St
Seattle, WA 98177-4840
Phone (206) 367-5218

Other identifiers 1

IdentifierTypeStateIssuer
1797109MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071112000211 WA Practitioner - Psychiatry 9739277690 Practice locations: Seattle, WA

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

753 N 35TH St
Seattle, WA 98103-8870
Phone (206) 284-6907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194896688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 NW 112TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774840",
            "telephone_number": "206-367-5218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MERCER ST",
            "address_2": "SUITE 515",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981193995",
            "telephone_number": "206-284-6907",
            "fax_number": "206-282-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUSTER",
        "first_name": "LINDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00017884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1797109",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.