Individual provider Active NPI

Courtney Tuegel

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1437549128
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60556012 Issued in WA
Practice address
1959 NE Pacific St RM BB-527
Box 356421
Seattle, WA 98195-6421
Phone
(206) 543-3605
NPI assigned
Feb 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60556012 WA Primary

Addresses

Primary practice location

1959 NE Pacific St RM BB-527
Box 356421
Seattle, WA 98195-6421

Mailing address

2733 NE 55TH St
Seattle, WA 98105-5527
Phone (847) 513-3721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150602002088 WA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7012238082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
60556012WAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1437549128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2733 NE 55TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981055527",
            "telephone_number": "847-513-3721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST RM BB-527",
            "address_2": "BOX 356421",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956421",
            "telephone_number": "206-543-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUEGEL",
        "first_name": "COURTNEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "60556012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.