Individual provider Active NPI

Henriette Patricia Schwab, MD

  • Dermatology Physician
  • Federal Way, WA
National Provider Identifier
1245345560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00025958 Issued in WA
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

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
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

IdentifierTypeStateIssuer
MD00025958OtherWASTATE LIC
SC5663OtherWAKING 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.

Verify at the official NPI Registry.