Organization Active NPI

Derman PLLC

Doing business as Nilufer Norsworthy, M.D

  • Clinic/Center
  • Seattle, WA
National Provider Identifier
1386084903
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MD60092323 Issued in WA
Legal business name
DERMAN PLLC
Doing business as
Nilufer Norsworthy, M.D
Practice address
1560 N 115TH St
Suite 201
Seattle, WA 98133-8414
Phone
(206) 368-1244
Fax
(206) 368-1270
NPI assigned
Jun 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Nilufer Bozdemir Norsworthy, M.D.
Title
Owner/Provider
Phone
(713) 868-8006

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MD60092323 WA Primary
Ambulatory Surgical Clinic/Center 261QA1903X MD60092323 WA
Infusion Therapy Clinic/Center 261QI0500X MD60092323 WA
Multi-Specialty Clinic/Center 261QM1300X MD60092323 WA
General Acute Care Hospital 282N00000X MD60092323 WA

Addresses

Primary practice location

1560 N 115TH St
Suite 201
Seattle, WA 98133-8414

Mailing address

2829 140TH Ave NE
Bellevue, WA 98005-1826
Phone (713) 868-8006

Other identifiers 2

IdentifierTypeStateIssuer
1700016391OtherWANPI
MD 60092323OtherWASTATE LICENSE

Other names 1

  • Nilufer Norsworthy, M.D Doing business as

National Provider Directory

National Provider Directory

Locations

1717 S J St
#H
Tacoma, WA 98405
Phone (253) 436-6630

NPI Registry JSON

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1386084903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 140TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980051826",
            "telephone_number": "713-868-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST",
            "address_2": "SUITE 201",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-368-1244",
            "fax_number": "206-368-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "NORSWORTHY",
        "authorized_official_first_name": "NILUFER",
        "authorized_official_middle_name": "BOZDEMIR",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "713-868-8006",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MD60092323",
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "WA",
            "license": "MD60092323",
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "WA",
            "license": "MD60092323",
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "WA",
            "license": "MD60092323",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "WA",
            "license": "MD60092323",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700016391",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD 60092323",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nilufer Norsworthy, M.D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 7, 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.

Verify at the official NPI Registry.