Active NPI
Henriette Patricia Schwab, MD
- Dermatology Physician
- Federal Way, WA
National Provider Identifier
1245345560
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD00025958
- Practice address
- 34616 11TH Place So
Suite #5
Federal Way, WA 98003-8705 - Phone
- (253) 952-7277
- Fax
- (253) 952-7280
- NPI assigned
- Aug 19, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD00025958 | WA | Primary |
Addresses
Primary practice location
34616 11TH Place So
Suite #5
Federal Way, WA 98003-8705
Mailing address
34616 11TH Place So
Suite #5
Federal Way, WA 98003-8705
Phone (253) 952-7277
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00025958 | Other | WA | STATE LIC |
| SC5663 | Other | WA | KING COUNTY |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245345560",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34616 11TH PLACE SO",
"address_2": "SUITE #5",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038705",
"telephone_number": "253-952-7277",
"fax_number": "253-952-7280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34616 11TH PLACE SO",
"address_2": "SUITE #5",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038705",
"telephone_number": "253-952-7277",
"fax_number": "253-952-7280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHWAB",
"first_name": "HENRIETTE",
"middle_name": "PATRICIA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "WA",
"license": "MD00025958",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC",
"identifier": "MD00025958",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KING COUNTY",
"identifier": "SC5663",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.