Erika L. Ebbeson

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00007999 Issued in WA

Practice address

1313 Market St
Suite 3000
Kirkland, WA 98033-5456

Phone

(425) 417-5487

Fax

(425) 827-9090

NPI assigned

May 3, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Erika L. Ebbeson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639391345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 168TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980084522",
            "telephone_number": "425-417-5487",
            "fax_number": "425-827-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 MARKET ST",
            "address_2": "SUITE 3000",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335456",
            "telephone_number": "425-417-5487",
            "fax_number": "425-827-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBBESON",
        "first_name": "ERIKA",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00007999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIKA",
            "last_name": "EBBESON",
            "middle_name": "L.",
            "prefix": "MS.",
            "credential": "LMP, RC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.