NPIMap

Organization Active NPI

Seattle Reproductive Healthcare PS

  • Obstetrics & Gynecology Physician
  • Seattle, WA
National Provider Identifier
1295831162
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD00027147 Issued in WA
Legal business name
SEATTLE REPRODUCTIVE HEALTHCARE PS
Practice address
1229 Madison St
Ste 840
Seattle, WA 98104-3539
Phone
(206) 328-3200
Fax
(206) 328-4636
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Christina Joann Nicholson, LISENCED PRACTICAL N
Title
LPN Office Manager
Phone
(206) 328-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X MD00027147 WA Primary

Addresses

Primary practice location

1229 Madison St
Ste 840
Seattle, WA 98104-3539

Mailing address

1229 Madison St
Ste 840
Seattle, WA 98104-3539
Phone (206) 328-3200

Other identifiers 1

IdentifierTypeStateIssuer
7109671MedicaidWA

National Provider Directory

National Provider Directory

Locations

1229 Madison St
Ste 840
Seattle, WA 98104
Phone (206) 328-3200

Practitioners & affiliated clinicians

Practitioners 3

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295831162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "STE 840",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043539",
            "telephone_number": "206-328-3200",
            "fax_number": "206-328-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 MADISON ST",
            "address_2": "STE 840",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043539",
            "telephone_number": "206-328-3200",
            "fax_number": "206-328-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE REPRODUCTIVE HEALTHCARE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "JOANN",
        "authorized_official_title_or_position": "LPN OFFICE MANAGER",
        "authorized_official_telephone_number": "206-328-3200",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LISENCED PRACTICAL N"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD00027147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109671",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.