Individual provider Active NPI

Debra Hartsfield, L.M.P.

  • Specialist
  • Shoreline, WA
National Provider Identifier
1205000411
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00020159 Issued in WA
Practice address
15027 Aurora Ave N
Shoreline, WA 98133-6134
Phone
(206) 362-3520
Fax
(206) 362-3520
NPI assigned
Apr 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00020159 WA Primary

Addresses

Primary practice location

15027 Aurora Ave N
Shoreline, WA 98133-6134

Mailing address

15027 Aurora Ave N
Shoreline, WA 98133-6134
Phone (206) 362-3520

Other identifiers 1

IdentifierTypeStateIssuer
MA00020159OtherWASTATE MASSAGE LISENCE #

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
MA00020159WAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
James S Park Specialist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1205000411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15027 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336134",
            "telephone_number": "206-362-3520",
            "fax_number": "206-362-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15027 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981336134",
            "telephone_number": "206-362-3520",
            "fax_number": "206-362-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSFIELD",
        "first_name": "DEBRA",
        "credential": "L.M.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00020159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MASSAGE LISENCE #",
            "identifier": "MA00020159",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.