Seattle Womens and Moms Clinic

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP60321470 Issued in WA

Legal business name

SEATTLE WOMENS AND MOMS CLINIC

Practice address

925 N 130TH St
Seattle, WA 98133-7502

Phone

(206) 485-4364

Fax

(877) 540-0569

NPI assigned

Nov 30, 2017

Organization subpart

No

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

Authorized official

Name

Lise V. Martin, ARNPNPI 1841536729

Title

Founder

Phone

(206) 485-4364

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lise Martin, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
  • NPI 1841536729
  NPD Authorized official

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

{
    "created_epoch": "1512000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1396259289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N 130TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337502",
            "telephone_number": "206-485-4364",
            "fax_number": "877-540-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N 130TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337502",
            "telephone_number": "206-485-4364",
            "fax_number": "877-540-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE WOMENS AND MOMS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-30",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "LISE",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "206-485-4364",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60321470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024196",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seattle Vision Care Center Inc PS
• Seattle Vision Clinic Inc
• Seattle Vision Therapy and Rehabilitation Center, PLLC
• Seattle Voice Lab
• Seattle Wellness Group, P.S.
• Seattle World School Health Center
• Seattle-King County Dept of Public Health
• Seattle-King County Dept of Public Health
• Seattle-King County Dept of Public Health
• Seattle-King County Dept of Public Health

• Family Nurse Practitioner in Seattle, WA
• Providers in Seattle, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.