Active NPI
Teresa Lam, M.D.
- Neonatal-Perinatal Medicine Physician
- Anchorage, AK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal-Perinatal Medicine Physician
- License
- 147505
- Practice address
- 3340 Providence Dr Ste 366
Anchorage, AK 99508-4627 - Phone
- (907) 563-3026
- Fax
- (907) 562-6445
- NPI assigned
- May 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A123116 | CA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 147505 | AK | Primary |
Addresses
Primary practice location
3340 Providence Dr Ste 366
Anchorage, AK 99508-4627
Mailing address
3340 Providence Dr Ste 366
Anchorage, AK 99508-4627
Phone (907) 563-3026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A123116 | CA | MD | Pediatrics Physician |
| 147505 | AK | MD | Neonatal-Perinatal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Children'S Hospital | Current | Accepting new patients | |
| Seattle Childrens Hospital | Current | Accepting new patients | |
| Seattle Children'S Hospital | Current | Accepting new patients | |
| The Association of Chrmc and University Physicians | Pediatrics | Current | Accepting new patients |
| Association of CHMC and University Physicians | Pediatrics | Current | Accepting new patients |
| Providence Health & Services Washington | Past | Accepting new patients |
Locations
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080
8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700
4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000
1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100
Organizations & group practices 6
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.
-
- Specialist
- Seattle, WA
- NPI 1003319500
-
- Pediatrics Physician
- Seattle, WA
- NPI 1255449963
-
- Pediatrics Physician
- Richland, WA
- NPI 1851680664
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Seattle, WA
- NPI 1811041692
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1245342153
-
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574726400000",
"number": "1518250026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 PROVIDENCE DR STE 366",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084627",
"telephone_number": "907-563-3026",
"fax_number": "907-562-6445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 PROVIDENCE DR STE 366",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995084627",
"telephone_number": "907-563-3026",
"fax_number": "907-562-6445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAM",
"first_name": "TERESA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-17",
"last_updated": "2019-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A123116",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AK",
"license": "147505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.