Individual provider Active NPI

Gudrun Gertrud Margareta Murti, M.D.

  • Pediatrics Physician
  • Shoreline, WA
National Provider Identifier
1689655680
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00034038 Issued in WA
Practice address
15230 15TH Ave NE
Shoreline, WA 98155-7130
Phone
(206) 361-3577
Fax
(206) 361-5246
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00034038 WA Primary

Addresses

Primary practice location

15230 15TH Ave NE
Shoreline, WA 98155-7130

Mailing address

1250 NW 120TH St
Seattle, WA 98177-4637
Phone (206) 361-5583

Other identifiers 1

IdentifierTypeStateIssuer
8204042OtherWADSHS

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00034038WAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1689655680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 NW 120TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981774637",
            "telephone_number": "206-361-5583",
            "fax_number": "206-361-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15230 15TH AVE NE",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981557130",
            "telephone_number": "206-361-3577",
            "fax_number": "206-361-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURTI",
        "first_name": "GUDRUN",
        "middle_name": "GERTRUD MARGARETA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00034038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "8204042",
            "state": "WA"
        }
    ],
    "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 Jul 13, 2026; 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.