Active NPI
Ray M Nicola, MD
- Public Health & General Preventive Medicine Physician
- Seattle, WA
National Provider Identifier
1255601860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health & General Preventive Medicine Physician
- License
- 00019048
- Practice address
- 1959 NE Pacific St
RM H-681
Seattle, WA 98195-7660 - Phone
- (206) 221-6179
- NPI assigned
- Jan 12, 2012
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 00019048 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
RM H-681
Seattle, WA 98195-7660
Mailing address
Box 357660
Seattle, WA 98195-7660
Phone (206) 221-6179
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00019048 | WA | MD | Public Health & General Preventive Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1255601860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 357660",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957660",
"telephone_number": "206-221-6179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"address_2": "RM H-681",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981957660",
"telephone_number": "206-221-6179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICOLA",
"first_name": "RAY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-12",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0901X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": "WA",
"license": "00019048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 12, 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.