Individual provider Active NPI

Malia Ann Mongini Cranmer, MD, MPH

  • Pediatrics Physician
  • Burien, WA
National Provider Identifier
1699979468
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
60095475 Issued in WA
Practice address
16233 Sylvester Rd SW
Suite 230
Burien, WA 98166-3045
Phone
(206) 242-7822
NPI assigned
Jun 13, 2007
Last updated
Apr 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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 60095475 WA Primary

Addresses

Primary practice location

16233 Sylvester Rd SW
Suite 230
Burien, WA 98166-3045

Mailing address

16233 Sylvester Rd SW
Suite 230
Burien, WA 98166-3045

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
I20121120000461 WA Practitioner - Pediatric Medicine 3577713312 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60095475WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seahurst Pediatrics PLLC Pediatrics CurrentSince Aug 28, 2012 Accepting new patients
Highline Internal Medicine PS PastSince Aug 28, 2012 Accepting new patients
Highline Medical Center Past Accepting new patients

Locations

16233 Sylvester Rd SW
Ste 230
Burien, WA 98166
Phone (206) 242-7822

Interoperability endpoints

  • Direct secure messaging: malia.cranmer.1@27600.direct.athenahealth.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365984000000",
    "number": "1699979468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 230",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16233 SYLVESTER RD SW",
            "address_2": "SUITE 230",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663045",
            "telephone_number": "206-242-7822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANMER",
        "first_name": "MALIA",
        "middle_name": "ANN MONGINI",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2013-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "60095475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burien, WA

Sources for this page

Verify at the official NPI Registry.