Organization Active NPI

Spartan Sleep Services, PLLC

  • Specialist
  • Edmonds, WA
National Provider Identifier
1275818130
Registry record updated Oct 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD00024570 Issued in WA
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

Updated by the provider on Oct 11, 2011

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)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X MD00024570 WA Primary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.