Active NPI
Debra Lynette Ewing-Lonczak, ARNP
- Pediatric Nurse Practitioner
- Seattle, WA
National Provider Identifier
1457513608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP30004527
- Practice address
- 4800 Sand Point Way NE
M/S 4573
Seattle, WA 98105-3901 - Phone
- (206) 987-2361
- Fax
- (206) 987-2730
- NPI assigned
- Jun 30, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 565879 | TX | |
| Pediatric Nurse Practitioner | 363LP0200X | AP30004527 | WA | Primary |
Addresses
Primary practice location
4800 Sand Point Way NE
M/S 4573
Seattle, WA 98105-3901
Mailing address
4800 Sand Point Way NE
M/S 4573
Seattle, WA 98105-0371
Phone (206) 987-2361
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 565879 | TX | MD | Pediatric Nurse Practitioner |
| AP30004527 | WA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214784000000",
"number": "1457513608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "M/S 4573",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981050371",
"telephone_number": "206-987-2361",
"fax_number": "206-987-2730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "M/S 4573",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981053901",
"telephone_number": "206-987-2361",
"fax_number": "206-987-2730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EWING-LONCZAK",
"first_name": "DEBRA",
"middle_name": "LYNETTE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-30",
"last_updated": "2008-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "565879",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WA",
"license": "AP30004527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.