Organization Active NPI

Uwnwh Medical Group TR

Doing business as UWNWH Medical Group Trust; UW Medicine Northwest

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1215208442
Registry record updated Jan 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
UWNWH MEDICAL GROUP TR
Doing business as
UWNWH Medical Group Trust; UW Medicine Northwest
Practice address
1550 N 115TH St
Suite B 276
Seattle, WA 98133-8401
Phone
(206) 368-1758
NPI assigned
Jan 19, 2012
Last updated
Jan 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2012

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

Authorized official

Name
Bruce Ferguson
Title
VP Cfo
Phone
(206) 368-2772

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NU Primary
Registered Nurse 163W00000X NU

Addresses

Primary practice location

1550 N 115TH St
Suite B 276
Seattle, WA 98133-8401

Mailing address

1550 N 115TH St
Suite B 276
Seattle, WA 98133-8401
Phone (206) 368-1758

Other names 1

  • UWNWH Medical Group Trust; UW Medicine Northwest Doing business as

National Provider Directory

National Provider Directory

Locations

10421 SE 248th St
Kent, WA 98030
Phone (253) 243-0054

1530 N 115th St
Ste 102
Seattle, WA 98133
Phone (206) 368-6749

1550 N 115th St
Ste B
Seattle, WA 98133
Phone (206) 368-1758

1550 N 115th St
Ste B250
Seattle, WA 98133

1550 N 115th St
Ste B276
Seattle, WA 98133

1550 N 115th St
Ste MSE120
Seattle, WA 98133

NPI Registry JSON

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

{
    "created_epoch": "1326931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327536000000",
    "number": "1215208442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N 115TH ST",
            "address_2": "SUITE B 276",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338401",
            "telephone_number": "206-368-1758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N 115TH ST",
            "address_2": "SUITE B 276",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338401",
            "telephone_number": "206-368-1758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UWNWH MEDICAL GROUP TR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-19",
        "last_updated": "2012-01-26",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "206-368-2772"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UWNWH Medical Group Trust; UW Medicine Northwest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 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.