Individual provider Active NPI

Ricardo T Usi, P.A.

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1366581423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
10001835 Issued in WA
Practice address
7101 Martin Luther King Jr Way S Ste 102
Seattle, WA 98118-3589
Phone
(206) 722-0534
NPI assigned
Feb 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 10001835 WA Primary

Addresses

Primary practice location

7101 Martin Luther King Jr Way S Ste 102
Seattle, WA 98118-3589

Mailing address

14027 35TH Ave S
Tukwila, WA 98168-4009

Other identifiers 1

IdentifierTypeStateIssuer
10001835OtherWASTATE PA LICENSE NUMBER

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
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10001835WAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366581423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14027 35TH AVE S",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981684009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 MARTIN LUTHER KING JR WAY S STE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981183589",
            "telephone_number": "206-722-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USI",
        "first_name": "RICARDO",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "P.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "10001835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE PA LICENSE NUMBER",
            "identifier": "10001835",
            "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 Jul 8, 2007; 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.