Organization Active NPI

Lahai Health

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1568860849
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00024784 Issued in WA
Legal business name
LAHAI HEALTH
Practice address
2152 N 122ND St
Seattle, WA 98133-8524
Phone
(206) 363-4105
Fax
(206) 363-1723
NPI assigned
Dec 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Authorized official

Name
Dr. Steven Creelman, M.D.
Title
Medical Director
Phone
(206) 354-9533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X MD00024784 WA Primary

Addresses

Primary practice location

2152 N 122ND St
Seattle, WA 98133-8524

Mailing address

2150 N 122ND St
Seattle, WA 98133-8524
Phone (206) 363-4105

Other names 1

  • Puget Sound Christian Clinic Former legal business name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D1030189Lahai Health2152 N 122ND St, Seattle, WA 98133Certificate of waiverApr 4, 2028

National Provider Directory

National Provider Directory
Tax ID family
Lahai Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2150 N 122nd St
Seattle, WA 98133
Phone (206) 363-4105

2152 N 122nd St
Seattle, WA 98133
Phone (206) 363-4105

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1568860849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N 122ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338524",
            "telephone_number": "206-363-4105",
            "fax_number": "206-363-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 N 122ND ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338524",
            "telephone_number": "206-363-4105",
            "fax_number": "206-363-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAHAI HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-18",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A",
        "authorized_official_last_name": "CREELMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "206-354-9533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00024784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Puget Sound Christian Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.