Individual provider Active NPI

Laura Renee Sobieck, D.O.

  • Family Medicine Physician
  • Mill Creek, WA
National Provider Identifier
1457684169
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61082249 Issued in WA
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

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110801000373 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 0446429849 Reassigns benefits to 1 organization
I20201015002950 WA Practitioner - Family Practice 0446429849 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A10776CAMDFamily Medicine Physician
OP61082249WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Diego Current Accepting new patients
County of San Diego CurrentSince Oct 14, 2017 Accepting new patients
Providence Health & Services-Wa Current Accepting new patients
Providence Health & Services-Wa CurrentSince Feb 28, 2022 Accepting new patients
County of San Diego CurrentSince Oct 14, 2017 Accepting new patients
Providence Health & Services-Washington CurrentSince Feb 28, 2022 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.

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

Verify at the official NPI Registry.