Active NPI
David Varnau, C.P.O.
- Prosthetics Case Management
- Seattle, WA
National Provider Identifier
1508056599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- PS00000002
- Practice address
- 411 12TH Ave
Seattle, WA 98122-5577 - Phone
- (206) 328-4276
- Fax
- (206) 328-1037
- NPI assigned
- Jul 26, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | PS00000002 | WA | Primary |
Addresses
Primary practice location
411 12TH Ave
Seattle, WA 98122-5577
Mailing address
411 12TH Ave
Seattle, WA 98122-5577
Phone (206) 328-4276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9015561 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PS00000002 | WA | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1508056599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 12TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225577",
"telephone_number": "206-328-4276",
"fax_number": "206-328-1037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 12TH AVE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225577",
"telephone_number": "206-328-4276",
"fax_number": "206-328-1037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARNAU",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "C.P.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "WA",
"license": "PS00000002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9015561",
"state": "WA"
}
],
"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 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.