Active NPI
Lori Brown Miller, M.D.
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60620568
- Practice address
- 1448 NW Market St
Seattle, WA 98107-3743 - Phone
- (206) 781-6353
- NPI assigned
- Sep 3, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0051384 | MD | |
| Family Medicine Physician | 207Q00000X | MD60620568 | WA | Primary |
Addresses
Primary practice location
1448 NW Market St
Seattle, WA 98107-3743
Mailing address
1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2055018 | Medicaid | WA |
Other names 1
- Lori Christine Brown
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Columbia University College of Physicians and Surgeons, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0051384 | MD | MD | Family Medicine Physician |
| MD60620568 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| Community Health Center of Snohomish County | Current | Accepting new patients | |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
| The Polyclinic | Current | Accepting new patients | |
| Community Health Center of Snohomish County | Family Medicine | Current | Accepting new patients |
| The Polyclinic PLLC | Family Medicine | Current | Accepting new patients |
Locations
3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001
8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200
1448 NW Market St
Seattle, WA 98107
Phone (206) 781-6353
1145 Broadway
Seattle, WA 98122
Interoperability endpoints
- lmiller15289@direct.tecmc.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1730136367
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1023830346
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Family Medicine
-
- Radiation Oncology Physician
- Seattle, WA
- NPI 1962824219
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633392000000",
"number": "1194973123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224201",
"telephone_number": "206-329-1760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 NW MARKET ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981073743",
"telephone_number": "206-781-6353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "LORI",
"middle_name": "BROWN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-03",
"last_updated": "2021-10-05",
"certification_date": "2021-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0051384",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60620568",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2055018",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "BROWN",
"middle_name": "CHRISTINE",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.