Active NPI
Laurie L Kreiter, MD
- Family Medicine Physician
- Lynnwood, WA
National Provider Identifier
1407852742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00034149
- Practice address
- 19116 33Rd Ave W
Lynnwood, WA 98036-4706 - Phone
- (425) 712-7900
- Fax
- (425) 712-7905
- NPI assigned
- Jun 22, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00034149 | WA | Primary |
Addresses
Primary practice location
19116 33Rd Ave W
Lynnwood, WA 98036-4706
Mailing address
1100 9TH Ave
M4-PFS
Seattle, WA 98101-2756
Phone (206) 515-5811
Other practice location 1
17191 Bothell Way NE
Ste 205
Lake Forest Park, WA 98155-5534
Phone (206) 364-8272
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080181371 | Other | WA | RAILROAD MEDICARE |
| 8297731 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Cloud Health Medical Group of California, P.C. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- laurie.kreiter.1@19957.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1194404327
Family Medicine
-
- Internal Medicine Physician
- White Plains, NY
- NPI 1528744935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1407852742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 9TH AVE",
"address_2": "M4-PFS",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981012756",
"telephone_number": "206-515-5811",
"fax_number": "206-341-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19116 33RD AVE W",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980364706",
"telephone_number": "425-712-7900",
"fax_number": "425-712-7905"
}
],
"practiceLocations": [
{
"address_1": "17191 Bothell Way NE",
"address_2": "Ste 205",
"address_purpose": "LOCATION",
"city": "Lake Forest Park",
"state": "WA",
"postal_code": "981555534",
"country_code": "US",
"telephone_number": "206-364-8272",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KREITER",
"first_name": "LAURIE",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00034149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080181371",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8297731",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.