Individual provider Active NPI

James R Lathrop, DNP - ARNP

  • Emergency Medicine Physician
  • Bellevue, WA
National Provider Identifier
1497858419
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
30004274 Issued in WA
Practice address
1035 116TH Avenue NE
Bellevue, WA 98004
Phone
(425) 688-5759
Fax
(425) 688-5101
NPI assigned
Sep 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 30004274 WA Primary

Addresses

Primary practice location

1035 116TH Avenue NE
Bellevue, WA 98004

Mailing address

200 Nat Washington Way
Ephrata, WA 98823-1982
Phone (509) 754-4631

Other identifiers 1

IdentifierTypeStateIssuer
9621897MedicaidWA

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
30004274WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Physicians PLLC Emergency Medicine Past Accepting new patients
Overlake Medical Clinics LLC Past Accepting new patients
Overlake Medical Clinics, LLC Past Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1497858419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NAT WASHINGTON WAY",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231982",
            "telephone_number": "509-754-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 116TH AVENUE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98004",
            "telephone_number": "425-688-5759",
            "fax_number": "425-688-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATHROP",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DNP - ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "30004274",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9621897",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.