Individual provider Active NPI

Victoria Marie Mead, M.D.

  • Geriatric Medicine (Family Medicine) Physician
  • Auburn, WA
National Provider Identifier
1689802266
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
MD60364559 Issued in WA
Practice address
4508 Auburn Way N
Suite C
Auburn, WA 98002-1381
Phone
(253) 737-5764
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD60364559 WA Primary

Addresses

Primary practice location

4508 Auburn Way N
Suite C
Auburn, WA 98002-1381

Mailing address

4508 Auburn Way N
Suite C
Auburn, WA 98002-1381
Phone (253) 737-5764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131106000254 WA Practitioner - Family Practice 0042467953 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Best Northwest Physicians PLLC CurrentSince Jan 1, 2017 Accepting new patients
Washington Pac Services PC CurrentSince Jul 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Sep 2, 2013 Accepting new patients
Wa Pacs 2 PC CurrentSince Jul 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Current Accepting new patients
South Sound Inpatient Physicians, PLLC CurrentSince Sep 2, 2013 Accepting new patients
Avalon Care Center-Kent LLC Past Accepting new patients

Locations

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

4508 Auburn Way N
Ste C
Auburn, WA 98002
Phone (253) 737-5764

21301 State Route 410 E
Bonney Lake, WA 98391
Phone (253) 862-2533

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

22410 Benson Rd SE
Kent, WA 98031
Phone (253) 852-7755

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1689802266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 AUBURN WAY N",
            "address_2": "SUITE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021381",
            "telephone_number": "253-737-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 AUBURN WAY N",
            "address_2": "SUITE C",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980021381",
            "telephone_number": "253-737-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "VICTORIA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD60364559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.