Active NPI
Spartan Sleep Services, PLLC
- Specialist
- Edmonds, WA
National Provider Identifier
1275818130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD00024570
- Legal business name
- SPARTAN SLEEP SERVICES, PLLC
- Practice address
- 21616 76TH Ave W Ste 102
Edmonds, WA 98026-7512 - Phone
- (425) 774-1538
- NPI assigned
- Oct 11, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimberly Kathleen Berger
- Title
- Biller
- Phone
- (360) 297-8805
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD00024570 | WA | Primary |
| Specialist | 174400000X | MD 00036316 | WA |
Addresses
Primary practice location
21616 76TH Ave W Ste 102
Edmonds, WA 98026-7512
Mailing address
PO Box 2097
Kingston, WA 98346-2097
Phone (360) 297-8805
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Poulsbo, WA
- NPI 1285297275
-
- Specialist
- Edmonds, WA
- NPI 1326034042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1318291200000",
"number": "1275818130",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2097",
"city": "KINGSTON",
"state": "WA",
"postal_code": "983462097",
"telephone_number": "360-297-8805",
"fax_number": "360-297-1676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21616 76TH AVE W STE 102",
"city": "EDMONDS",
"state": "WA",
"postal_code": "980267512",
"telephone_number": "425-774-1538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPARTAN SLEEP SERVICES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-11",
"last_updated": "2011-10-11",
"status": "A",
"authorized_official_last_name": "BERGER",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "KATHLEEN",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "360-297-8805"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MD00024570",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "WA",
"license": "MD 00036316",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edmonds, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.