Integrationworks, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00008947 Issued in WA

Legal business name

INTEGRATIONWORKS, INC.

Practice address

5505 Brooklyn Ave NE
Seattle, WA 98105-3517

Phone

(206) 328-5143

Fax

(206) 525-5351

NPI assigned

Jul 5, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen A Petersen, CHP, LMPNPI 1346448248

Title

President

Phone

(206) 328-5143

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Karen A Petersen, CHP, LMP

  • Specialist
  • Seattle, WA
  • NPI 1346448248
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1629276290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 BROOKLYN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053517",
            "telephone_number": "206-328-5143",
            "fax_number": "206-525-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 BROOKLYN AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053517",
            "telephone_number": "206-328-5143",
            "fax_number": "206-525-5351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIONWORKS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-328-5143",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHP, LMP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00008947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.