Individual provider Active NPI

Bettina Dara Ramick, L.M.P

  • Ph.D. Medical Genetics
  • Kent, WA
National Provider Identifier
1396942728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ph.D. Medical GeneticsTaxonomy code 170100000X
License
MA0015385 Issued in WA
Practice address
25658 104TH Ave SE
Kent, WA 98030-7610
Phone
(253) 852-2830
Fax
(253) 852-2828
NPI assigned
Jun 29, 2007
Sex
Female
Sole proprietor
No

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
Ph.D. Medical Genetics 170100000X MA0015385 WA Primary

Addresses

Primary practice location

25658 104TH Ave SE
Kent, WA 98030-7610

Mailing address

302 Dereks PL
Pacific, WA 98047-1450
Phone (206) 734-1879

Other identifiers 1

IdentifierTypeStateIssuer
MA00015385OtherWALICENSE

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

LicenseStateTypeSpecialty
MA0015385WAMDPh.D. Medical Genetics

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396942728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 DEREKS PL",
            "city": "PACIFIC",
            "state": "WA",
            "postal_code": "980471450",
            "telephone_number": "206-734-1879",
            "fax_number": "253-852-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25658 104TH AVE SE",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980307610",
            "telephone_number": "253-852-2830",
            "fax_number": "253-852-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMICK",
        "first_name": "BETTINA",
        "middle_name": "DARA",
        "name_prefix": "Ms.",
        "credential": "L.M.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "WA",
            "license": "MA0015385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "MA00015385",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, 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.