Individual provider Active NPI

Aisha Synclair Jamison, MD

  • Student in an Organized Health Care Education/Training Program
  • Seattle, WA
National Provider Identifier
1295470680
Registry record updated May 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
MDRE.ML.61540454 Issued in WA
Practice address
1959 NE Pacific Street BB-1332 Box 356524
Seattle, WA 98195-6524
Phone
(206) 685-6120
NPI assigned
May 1, 2022
Reactivated
May 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MDRE.ML.61540454 WA
Student in an Organized Health Care Education/Training Program 390200000X MDRE.ML.61540454 WA Primary

Addresses

Primary practice location

1959 NE Pacific Street BB-1332 Box 356524
Seattle, WA 98195-6524

Mailing address

1959 NE Pacific Street BB-1332 Box 356524
Seattle, WA 98195-6524
Phone (206) 685-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610003846 WA Order and Referring Only - DermatologyPractitioner - Dermatology 2062954688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MDRE.ML.61540454WAMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1651363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779667200000",
    "number": "1295470680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC STREET BB-1332 BOX 356524",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956524",
            "telephone_number": "206-685-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC STREET BB-1332 BOX 356524",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956524",
            "telephone_number": "206-685-6120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMISON",
        "first_name": "AISHA",
        "middle_name": "SYNCLAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-01",
        "last_updated": "2026-05-25",
        "certification_date": "2026-05-25",
        "deactivation_date": "2023-04-03",
        "reactivation_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MDRE.ML.61540454",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "MDRE.ML.61540454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.