Active NPI
Donnajeanne Mary Hart, LMP
- Specialist
- Bothell, WA
National Provider Identifier
1255645883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA 60155497
- Practice address
- 18949 108TH Ave NE
Bothell, WA 98011-3015 - Phone
- (425) 760-3984
- NPI assigned
- Aug 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA 60155497 | WA | Primary |
Addresses
Primary practice location
18949 108TH Ave NE
Bothell, WA 98011-3015
Mailing address
9908 214TH PL SE
Snohomish, WA 98296-7117
Phone (425) 760-3984
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60155497 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1281052800000",
"number": "1255645883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9908 214TH PL SE",
"city": "SNOHOMISH",
"state": "WA",
"postal_code": "982967117",
"telephone_number": "425-760-3984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18949 108TH AVE NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113015",
"telephone_number": "425-760-3984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "DONNAJEANNE",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-06",
"last_updated": "2010-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA 60155497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.