Active NPI
Nidhi Janardhan Kotian, M.D
- Student in an Organized Health Care Education/Training Program
- Everett, WA
National Provider Identifier
1518715846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1920 100TH St SE, BLDG.B Sea Mar Everett Medical Clinic
Everett, WA 98208 - Phone
- (425) 312-0202
- NPI assigned
- May 10, 2024
- Last updated
- Nov 27, 2024
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | Primary |
Addresses
Primary practice location
1920 100TH St SE, BLDG.B Sea Mar Everett Medical Clinic
Everett, WA 98208
Mailing address
9710 State Ave Sea Mar Marysville Medical Clinic,
Marysville, WA 98270
Phone (360) 653-1742
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
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1518715846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9710 STATE AVE SEA MAR MARYSVILLE MEDICAL CLINIC,",
"city": "MARYSVILLE",
"state": "WA",
"postal_code": "98270",
"telephone_number": "360-653-1742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 100TH ST SE, BLDG.B SEA MAR EVERETT MEDICAL CLINIC",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "425-312-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTIAN",
"first_name": "NIDHI",
"middle_name": "JANARDHAN",
"name_prefix": "Ms.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-10",
"last_updated": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.