Individual provider Active NPI

Laura Jane Adair, LMP

  • Specialist
  • Issaquah, WA
National Provider Identifier
1477614907
Registry record updated Sep 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00016109 Issued in WA
Practice address
1595 NW Gilman Blvd Ste 15
Issaquah, WA 98027-5329
Phone
(425) 391-3939
Fax
(425) 313-0198
NPI assigned
Dec 12, 2006
Last updated
Sep 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA00016109 WA Primary

Addresses

Primary practice location

1595 NW Gilman Blvd Ste 15
Issaquah, WA 98027-5329

Mailing address

70 E Sunset Way
#163
Issaquah, WA 98027-3813
Phone (425) 391-3939

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

State licenses

LicenseStateTypeSpecialty
MA00016109WAMDSpecialist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346803200000",
    "number": "1477614907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 E SUNSET WAY",
            "address_2": "#163",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980273813",
            "telephone_number": "425-391-3939",
            "fax_number": "425-313-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 NW GILMAN BLVD STE 15",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275329",
            "telephone_number": "425-391-3939",
            "fax_number": "425-313-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAIR",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00016109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.