Active NPI
Nicholas Hasle
- Pediatrics Physician
- Seattle, WA
National Provider Identifier
1609526177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MDRE.ML.61291349
- Practice address
- 4245 Roosevelt Way NE
Seattle, WA 98105-6008 - Phone
- (206) 598-3000
- NPI assigned
- Mar 26, 2022
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MDRE.ML.61291349 | WA | Primary |
Addresses
Primary practice location
4245 Roosevelt Way NE
Seattle, WA 98105-6008
Mailing address
4800 Sand Point Way NE
Oc.7.830
Seattle, WA 98105
Other practice location 1
4800 Sand Point Way NE
Oc.7.830
Seattle, WA 98105
Phone (206) 987-2525
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220507000203 | WA | Order and Referring Only - Pediatric Medicine | 6800273160 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MDRE.ML.61291349 | WA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655769600000",
"number": "1609526177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 SAND POINT WAY NE",
"address_2": "OC.7.830",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4245 ROOSEVELT WAY NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056008",
"telephone_number": "206-598-3000"
}
],
"practiceLocations": [
{
"address_1": "4800 Sand Point Way NE",
"address_2": "OC.7.830",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "98105",
"country_code": "US",
"telephone_number": "206-987-2525",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HASLE",
"first_name": "NICHOLAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-26",
"last_updated": "2022-06-21",
"certification_date": "2022-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MDRE.ML.61291349",
"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 Jun 21, 2022; 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.