Active NPI
Tracy Margaret Litzenberger
- Registered Nurse
- Kirkland, WA
National Provider Identifier
1700456415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN61024067
- Practice address
- 14104 102ND Ave NE
Kirkland, WA 98034-9403 - Phone
- (206) 300-2500
- NPI assigned
- Jun 26, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61024067 | WA | Primary |
Addresses
Primary practice location
14104 102ND Ave NE
Kirkland, WA 98034-9403
Mailing address
14104 102ND Ave NE
Kirkland, WA 98034-9403
Phone (206) 300-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN61024067 | Other | WA | DOH |
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 |
|---|---|---|---|
| RN61024067 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624665600000",
"number": "1700456415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14104 102ND AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980349403",
"telephone_number": "206-300-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14104 102ND AVE NE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980349403",
"telephone_number": "206-300-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITZENBERGER",
"first_name": "TRACY",
"middle_name": "MARGARET",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-26",
"last_updated": "2021-06-26",
"certification_date": "2021-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61024067",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH",
"identifier": "RN61024067",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.