Amy Lavaveshkul, P.A.-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA 60452834 Issued in WA

Practice address

1100 9TH Ave
Box 900
Seattle, WA 98101-2756

Phone

(206) 583-6063

Fax

(206) 583-6580

NPI assigned

May 4, 2014

Last updated

May 4, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: amy.lavaveshkul@direct.vmmc.org

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

{
    "created_epoch": "1399161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399161600000",
    "number": "1295145969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "BOX 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-583-6063",
            "fax_number": "206-583-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 9TH AVE",
            "address_2": "BOX 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012756",
            "telephone_number": "206-583-6063",
            "fax_number": "206-583-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVAVESHKUL",
        "first_name": "AMY",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-04",
        "last_updated": "2014-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA 60452834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Lauzon, LMP
• Brian Eric Lavallee, DPT
• Muriel Lavallee
• Donna L Lavallie, DO
• Erin E Lavasseur, D.C.
• Michael Lavell
• Lavender Mental Health PLLC
• Donovan Shane Lavergne, LMP
• Laura Ann Lavezo, PHARMD
• Joe Lavin, LMP

• Medical Physician Assistant in Seattle, WA
• Providers in Seattle, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2014; 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.