Organization Active NPI

Mikki Seagren PLLC

  • Surgical Oncology Physician
  • Bellevue, WA
National Provider Identifier
1255811048
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
Legal business name
MIKKI SEAGREN PLLC
Practice address
1370 116TH Ave NE Ste 106
Bellevue, WA 98004-3831
Phone
(425) 658-2525
Fax
(646) 780-7951
NPI assigned
Aug 21, 2018
Last updated
Oct 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Dr. Mikki Seagren, DO
Title
Owner
Phone
(425) 241-6632

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X NU Primary

Addresses

Primary practice location

1370 116TH Ave NE Ste 106
Bellevue, WA 98004-3831

Mailing address

10900 NE 4TH St
Ste 2300
Bellevue, WA 98004-5882
Phone (206) 701-5600

Other practice location 1

35 S Louisiana St Ste A120
Kennewick, WA 99336-8630
Phone (509) 491-1944

National Provider Directory

National Provider Directory

Locations

10900 NE 4th St
Ste 2300
Bellevue, WA 98004
Phone (412) 406-7629

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1255811048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 NE 4TH ST",
            "address_2": "STE 2300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045882",
            "telephone_number": "206-701-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 116TH AVE NE STE 106",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043831",
            "telephone_number": "425-658-2525",
            "fax_number": "646-780-7951"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 S Louisiana St Ste A120",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993368630",
            "country_code": "US",
            "telephone_number": "509-491-1944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIKKI SEAGREN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "SEAGREN",
        "authorized_official_first_name": "MIKKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-241-6632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.