Individual provider Active NPI

Eva Taylor, MD

  • Pediatrics Physician
  • Sammamish, WA
National Provider Identifier
1386987295
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD.60637474 Issued in WA
Practice address
22620 SE 4TH Street
Suite #200
Sammamish, WA 98074
Phone
(425) 836-5407
Fax
(425) 836-5557
NPI assigned
Mar 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A132486 CA
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X MD.60637474 WA Primary

Addresses

Primary practice location

22620 SE 4TH Street
Suite #200
Sammamish, WA 98074

Mailing address

22620 SE 4TH Street
Suite #200
Sammamish, WA 98074

Other names 1

  • Eva Longbine Former name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A132486CAMDPediatrics Physician
MD.60637474WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Associates, Inc., P.S. Dba Allegro Pediatrics Pediatrics CurrentSince Dec 13, 2022 Accepting new patients

Locations

2700 Northup Way
Bellevue, WA 98004
Phone (425) 827-4600

14711 NE 29th Pl
Ste 255
Bellevue, WA 98007
Phone (425) 460-5634

22620 SE 4th St
Ste 200
Sammamish, WA 98074
Phone (425) 836-5407

Interoperability endpoints

  • Direct secure messaging: etaylor127494@direct.seattlechildrens.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1386987295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22620 SE 4TH STREET",
            "address_2": "SUITE #200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22620 SE 4TH STREET",
            "address_2": "SUITE #200",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "98074",
            "telephone_number": "425-836-5407",
            "fax_number": "425-836-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "EVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A132486",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD.60637474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVA",
            "last_name": "LONGBINE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sammamish, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.