NPIMap

Organization Active NPI

Vital Kids Medicine

  • Primary Care Clinic/Center
  • Seattle, WA
National Provider Identifier
1497017974
Registry record updated Jun 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
NT00001229 Issued in WA
Legal business name
VITAL KIDS MEDICINE
Practice address
5122 25TH Ave NE
Seattle, WA 98105-4121
Phone
(206) 518-8938
NPI assigned
Jun 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2012

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

Authorized official

Name
Dr. Hatha Gbedawo, NDNPI 1700958931
Title
Owner/ Manager/ Member
Phone
(206) 518-8938

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
Primary Care Clinic/Center 261QP2300X NT00001229 WA Primary

Addresses

Primary practice location

5122 25TH Ave NE
Seattle, WA 98105-4121

Mailing address

5122 25TH Ave NE
Seattle, WA 98105-4121
Phone (206) 518-8938

National Provider Directory

National Provider Directory

Locations

155 NE 100th St
Ste E402
Seattle, WA 98125

Practitioners & affiliated clinicians

Practitioners 5

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": "1339459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1497017974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054121",
            "telephone_number": "206-518-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 25TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054121",
            "telephone_number": "206-518-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITAL KIDS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "GBEDAWO",
        "authorized_official_first_name": "HATHA",
        "authorized_official_title_or_position": "OWNER/ MANAGER/ MEMBER",
        "authorized_official_telephone_number": "206-518-8938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "NT00001229",
            "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 Jun 12, 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.