Active NPI
Laura Renee Sobieck, D.O.
- Family Medicine Physician
- Mill Creek, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OP61082249
- Practice address
- 16000 Bothell Everett Hwy Ste 240
Mill Creek, WA 98012-1514 - Phone
- (425) 224-3209
- NPI assigned
- Sep 13, 2009
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A10776 | CA | |
| Family Medicine Physician | 207Q00000X | OP61082249 | WA | Primary |
Addresses
Primary practice location
16000 Bothell Everett Hwy Ste 240
Mill Creek, WA 98012-1514
Mailing address
16000 Bothell Everett Hwy Ste 240
Mill Creek, WA 98012-1514
Phone (425) 224-3209
Other practice location 1
333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370
Other practice location 2
555 Andover Park W Ste 200
Tukwila, WA 98188-3379
Phone (888) 803-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A10776 | CA | MD | Family Medicine Physician |
| OP61082249 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Diego | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| Providence Health & Services-Wa | Current | Accepting new patients | |
| Providence Health & Services-Wa | Current | Accepting new patients | |
| County of San Diego | Current | Accepting new patients | |
| Providence Health & Services-Washington | Current | Accepting new patients | |
| Circle Medical Care of California | Family Medicine | Past | Accepting new patients |
Locations
1000 Broadway
Ste 210
El Cajon, CA 92021
Phone (619) 401-5500
1250 Morena Blvd
San Diego, CA 92110
Phone (619) 692-8715
3853 Rosecrans St
San Diego, CA 92110
Phone (619) 615-0439
3177 Ocean View Blvd
San Diego, CA 92113
Phone (619) 231-9300
900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311
Organizations & group practices 7
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.
-
- Mammography Clinic/Center
- Everett, WA
- NPI 1336390442
-
- Public Health or Welfare Agency
- San Diego, CA
- NPI 1225255375
-
- Nurse Practitioner
- Everett, WA
- NPI 1164673554
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1588294854
-
- Ambulance
- San Diego, CA
- NPI 1316685159
-
- Community/Behavioral Health Agency
- El Cajon, CA
- NPI 1740348242
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1134596091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1457684169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 BOTHELL EVERETT HWY STE 240",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121514",
"telephone_number": "425-224-3209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 BOTHELL EVERETT HWY STE 240",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980121514",
"telephone_number": "425-224-3209"
}
],
"practiceLocations": [
{
"address_1": "333 1st St Ste A",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941052661",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 Andover Park W Ste 200",
"address_purpose": "LOCATION",
"city": "Tukwila",
"state": "WA",
"postal_code": "981883379",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOBIECK",
"first_name": "LAURA",
"middle_name": "RENEE",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-13",
"last_updated": "2024-10-16",
"certification_date": "2024-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A10776",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "OP61082249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mill Creek, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.