Active NPI
Everett Lally, CGC
- Genetic Counselor (M.S.)
- Seattle, WA
National Provider Identifier
1366072019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- GT61010152
- Practice address
- 825 Eastlake Ave E
Seattle, WA 98109-4405 - Phone
- (206) 606-7211
- Fax
- (206) 606-6412
- NPI assigned
- Jan 22, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | GT61010152 | WA | Primary |
Addresses
Primary practice location
825 Eastlake Ave E
Seattle, WA 98109-4405
Mailing address
PO Box 19023
Seattle, WA 98109-1023
Phone (206) 606-7211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GT61010152 | Other | WA | GENETIC COUNSELING LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | elally@seattlecca.org | Fred Hutchinson Cancer Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GT61010152 | WA | MD | Genetic Counselor (M.S.) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1366072019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 19023",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981091023",
"telephone_number": "206-606-7211",
"fax_number": "206-606-6412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 EASTLAKE AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981094405",
"telephone_number": "206-606-7211",
"fax_number": "206-606-6412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LALLY",
"first_name": "EVERETT",
"credential": "CGC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-22",
"last_updated": "2023-11-27",
"certification_date": "2020-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "WA",
"license": "GT61010152",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GENETIC COUNSELING LICENSE",
"identifier": "GT61010152",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "elally@seattlecca.org",
"affiliation": "Y",
"affiliationName": "Fred Hutchinson Cancer Center",
"address_1": "825 Eastlake Ave E",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981094405",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.