Organization Active NPI

My Family Doctor LLC

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1487688073
Registry record updated Jul 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00038084 Issued in WA
Legal business name
MY FAMILY DOCTOR LLC
Practice address
3623 SW Alaska St
Seattle, WA 98126-2732
Phone
(206) 362-8674
Fax
(206) 935-1425
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2024

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

Authorized official

Name
Terrill Harrington, MDNPI 1205854395
Title
Owner
Phone
(206) 362-8674

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD00038084 WA Primary

Addresses

Primary practice location

3623 SW Alaska St
Seattle, WA 98126-2732

Mailing address

PO Box 16469
Seattle, WA 98116-0469
Phone (206) 362-8674

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311000535 WA Part B Supplier - Clinic/Group Practice 4082503826 Receives reassigned benefits from 1 practitioner
Practice locations: Seattle, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1023031My Family Doctor3623 SW Alaska, Seattle, WA 98126Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

3623 SW Alaska St
#L
Seattle, WA 98126
Phone (206) 362-8674

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722038400000",
    "number": "1487688073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16469",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981160469",
            "telephone_number": "206-362-8674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3623 SW ALASKA ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981262732",
            "telephone_number": "206-362-8674",
            "fax_number": "206-935-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY DOCTOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-07-27",
        "certification_date": "2024-07-27",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "TERRILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-362-8674",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00038084",
            "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 Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.