Active NPI
Takla E Gardey, MD
- Family Medicine Physician
- Seattle, WA
National Provider Identifier
1467529800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35311
- Practice address
- 6300 9TH Ave NE
Suite 200
Seattle, WA 98115-8515 - Phone
- (206) 522-5646
- Fax
- (206) 524-5054
- NPI assigned
- Nov 29, 2006
- 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 | 35311 | WA | Primary |
Addresses
Primary practice location
6300 9TH Ave NE
Suite 200
Seattle, WA 98115-8515
Mailing address
6300 9TH Ave NE
Suite 200
Seattle, WA 98115
Phone (206) 522-5646
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35311 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381363200000",
"number": "1467529800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 9TH AVE NE",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98115",
"telephone_number": "206-522-5646",
"fax_number": "206-524-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 9TH AVE NE",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981158515",
"telephone_number": "206-522-5646",
"fax_number": "206-524-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDEY",
"first_name": "TAKLA",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2013-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "35311",
"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 Oct 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.