Active NPI
Karen Betty Tom, M.D.
- Emergency Medicine Physician
- Snoqualmie, WA
National Provider Identifier
1477592038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD00016406
- Practice address
- 9801 Frontier Ave SE
Snoqualmie, WA 98065-5200 - Phone
- (425) 831-2321
- Fax
- (425) 831-2361
- NPI assigned
- Jun 6, 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD00016406 | WA | Primary |
Addresses
Primary practice location
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Mailing address
9801 Frontier Ave SE
Snoqualmie, WA 98065-5200
Phone (425) 831-2300
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U72583 | Other | WA | REGENCE BLUESHIELD |
| 62013 | Other | WA | LABOR & INDUSTRIES |
| 8341802 | Medicaid | WA |
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 |
|---|---|---|---|
| MD00016406 | WA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 4, King County Wa | Past | Accepting new patients | |
| Pacific Palisades Podiatry PLLC | Past | Accepting new patients | |
| Public Hospital District No. 4, King County Washington | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Federal Way, WA
- NPI 1669428934
-
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
-
- Adult Medicine Physician
- Snoqualmie, WA
- NPI 1346280922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429228800000",
"number": "1477592038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 FRONTIER AVE SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980655200",
"telephone_number": "425-831-2300",
"fax_number": "425-831-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 FRONTIER AVE SE",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980655200",
"telephone_number": "425-831-2321",
"fax_number": "425-831-2361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOM",
"first_name": "KAREN",
"middle_name": "BETTY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2015-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WA",
"license": "MD00016406",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "U72583",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "62013",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8341802",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Snoqualmie, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.