Keria Madow

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LW61508686 Issued in WA

Practice address

1412 140TH PL NE
Bellevue, WA 98007-3915

Phone

(425) 747-7892

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• King County Public Hospital District No 2

  dba Booth Gardner Parkinsons Care Center

  • Neuromusculoskeletal Medicine & OMM Physician
  • Kirkland, WA
  • NPI 1801986070
  Medicare reassignment NPD
• Therapeutic Health Services

  dba Shoreline Branch

  • Methadone Clinic
  • Shoreline, WA
  • NPI 1144312877
  Medicare reassignment NPD
• King County Public Hospital District No 2

  dba EvergreenHealth Medical Group Pro Fees

  • Internal Medicine Physician
  • Kirkland, WA
  • NPI 1467542639
  NPD
• King County Public Hospital District No. 2

  dba EvergreenHealth at Home Physical Therapy

  • Physical Therapist
  • Kirkland, WA
  • NPI 1356920946
  NPD
• Therapeutic Health Services

  dba Seneca Branch

  • Methadone Clinic
  • Seattle, WA
  • NPI 1053400077
  NPD

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727481600000",
    "number": "1689131476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 140TH PL NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 140TH PL NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073915",
            "telephone_number": "425-747-7892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADOW",
        "first_name": "KERIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LW61508686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brooke Jordan Maddox
• Julia Ruth Madeoy
• Ernest Mohandas Madhavan, MD
• Lekha Sethu Madhavan, M.D.
• Madhuri Kandala, M.D. (Washington Nephrology and Hypertension PLLC)
• Rigoberto Madrigal, BS, AAC
• Kristi Doreen Madsen-Cason, LMP
• Suzanne C Madsen-Kostopoulos, PT
• Andrew P Madsen, MS, CFY
• Randall M. Maebo, D.D.S.

• Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2024; 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.

Verify at the official NPI Registry.