Kimberly K Liekweg, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60944351 Issued in WA

Practice address

800 5TH Ave Ste 800
Seattle, WA 98104-3100

Phone

(206) 533-2944

Fax

(206) 233-7489

NPI assigned

May 13, 2016

Last updated

Aug 28, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kliekweg1128962@wm.providencedirect.org
• Direct secure messaging: kliekweg82646@direct.seattlechildrens.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• CP Snohomish County Wa, LLC

  dba Providence at Home with Compassus Home Health, Snohomish County

  • Community Based Hospice Care Agency
  • Everett, WA
  • NPI 1184446221
  Medicare reassignment NPD
• The Association of Chrmc and University Physicians

  dba Children's University Medical Group

  • Pediatrics Physician
  • Seattle, WA
  • NPI 1255449963
  Medicare reassignment NPD
• Association of CHMC and University Physicians

  • Pediatrics Physician
  • Richland, WA
  • NPI 1851680664
  NPD
• CP Snohomish County Wa, LLC

  dba Providence at Home with Compassus Palliative Care, Snohomish County

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1346043254
  NPD
• Providence Health & Services - Washington

  dba Prov Hospice & H C of Snohomish Cty

  • Community Based Hospice Care Agency
  • Everett, WA
  • NPI 1083947709
  NPD

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1477909901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH AVE STE 800",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043100",
            "telephone_number": "206-533-2944",
            "fax_number": "206-233-7489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEKWEG",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60944351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Liebert
• Stephanie Stamnes Liebert, MD
• Nicole C Liebertz, CRNA
• Matthew Liechty, ARNP
• Heather Liedl, PA-C
• Andrea Liem, O.D.
• Brian C Liem, MD
• Cristi Lien, M.A.
• Joan Chern-Hui Lien, MD
• Katie Ann Lien, MD, PHD

• Pediatrics Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.

Verify at the official NPI Registry.