NPIMap

Organization Active NPI

Seattle Physical Medicine

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1588907158
Registry record updated Sep 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60410654 Issued in WA
Legal business name
SEATTLE PHYSICAL MEDICINE
Practice address
2004 Fairview Ave
Seattle, WA 98121-2704
Phone
(206) 749-0169
NPI assigned
Apr 2, 2013
Last updated
Sep 12, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2013

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

Authorized official

Name
Mrs. Christina M Deoliveira, ARNPNPI 1093149346
Title
Owner
Phone
(206) 713-4721

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Nurse Practitioner 363L00000X AP60410654 WA Primary

Addresses

Primary practice location

2004 Fairview Ave
Seattle, WA 98121-2704

Mailing address

2004 Fairview Ave
Seattle, WA 98121-2704
Phone (206) 749-0169

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378944000000",
    "number": "1588907158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 FAIRVIEW AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212704",
            "telephone_number": "206-749-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 FAIRVIEW AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981212704",
            "telephone_number": "206-749-0169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEATTLE PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-09-12",
        "status": "A",
        "authorized_official_last_name": "DEOLIVEIRA",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-713-4721",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60410654",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.