Individual provider Active NPI

William Gammell Brown

  • Geriatric Care Registered Respiratory Therapist
  • Shoreline, WA
National Provider Identifier
1639561996
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Care Registered Respiratory TherapistTaxonomy code 2279G0305X
License
LR00003707 Issued in WA
Practice address
2511 NE 165TH St
Shoreline, WA 98155-6126
Phone
(425) 876-8299
Fax
(206) 745-3978
NPI assigned
Feb 24, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Care Registered Respiratory Therapist 2279G0305X LR00003707 WA Primary

Addresses

Primary practice location

2511 NE 165TH St
Shoreline, WA 98155-6126

Mailing address

2511 NE 165TH St
Shoreline, WA 98155-6126
Phone (425) 876-8299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LR00003707WAMDGeriatric Care Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1639561996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 NE 165TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556126",
            "telephone_number": "425-876-8299",
            "fax_number": "206-745-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 NE 165TH ST",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981556126",
            "telephone_number": "425-876-8299",
            "fax_number": "206-745-3978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "WILLIAM",
        "middle_name": "GAMMELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279G0305X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Geriatric Care",
            "state": "WA",
            "license": "LR00003707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.