Active NPI
Abigail Deland, LMP
- Specialist
- Federal Way, WA
National Provider Identifier
1649577750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60204213
- Practice address
- 33650 6TH Ave S
Suite 100
Federal Way, WA 98003-6754 - Phone
- (253) 942-3303
- Fax
- (253) 815-8805
- NPI assigned
- Feb 25, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60204213 | WA | Primary |
Addresses
Primary practice location
33650 6TH Ave S
Suite 100
Federal Way, WA 98003-6754
Mailing address
952 SW Campus Dr
Apt. 23-E3
Federal Way, WA 98023-5056
Phone (253) 208-9892
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
| License | State | Type | Specialty |
|---|---|---|---|
| MA60204213 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1649577750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "952 SW CAMPUS DR",
"address_2": "APT. 23-E3",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980235056",
"telephone_number": "253-208-9892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33650 6TH AVE S",
"address_2": "SUITE 100",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036754",
"telephone_number": "253-942-3303",
"fax_number": "253-815-8805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAND",
"first_name": "ABIGAIL",
"name_prefix": "Miss",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60204213",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.