Active NPI
Julie Marie Iverson
- Obstetrics Physician
- Kirkland, WA
National Provider Identifier
1508945205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics Physician
- License
- MD00033026
- Practice address
- 12040 NE 128TH St
Ms 105
Kirkland, WA 98034-3013 - Phone
- (425) 899-2560
- NPI assigned
- Nov 3, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics Physician | 207VX0000X | MD00033026 | WA | Primary |
Addresses
Primary practice location
12040 NE 128TH St
Ms 105
Kirkland, WA 98034-3013
Mailing address
PO Box 34036
Seattle, WA 98124-1036
Phone (425) 899-3292
Other practice location 1
1101 Madison St Ste 950
Seattle, WA 98104-3592
Phone (206) 682-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1012153 | 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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00033026 | WA | MD | Obstetrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Nuclear Medicine-Ultrasound Associates | Past | Accepting new patients |
Interoperability endpoints
- jiverson466816@direct.peacehealth.org
Organizations & group practices 1
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.
-
- Radiology Clinic/Center
- Seattle, WA
- NPI 1265506349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581552000000",
"number": "1508945205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34036",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241036",
"telephone_number": "425-899-3292",
"fax_number": "425-899-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12040 NE 128TH ST",
"address_2": "MS 105",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343013",
"telephone_number": "425-899-2560"
}
],
"practiceLocations": [
{
"address_1": "1101 Madison St Ste 950",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981043592",
"country_code": "US",
"telephone_number": "206-682-5800",
"fax_number": "206-233-9657",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IVERSON",
"first_name": "JULIE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2020-02-13",
"certification_date": "2020-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "WA",
"license": "MD00033026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1012153",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.