Active NPI
Bettina Dara Ramick, L.M.P
- Ph.D. Medical Genetics
- Kent, WA
National Provider Identifier
1396942728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ph.D. Medical Genetics
- License
- MA0015385
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA00015385 | Other | WA | LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA0015385 | WA | MD | Ph.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.