Active NPI
Ruth T Emerson, M.D.
- Family Medicine Physician
- Redmond, WA
National Provider Identifier
1700942323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00016015
- Practice address
- 2701 156TH Ave NE
Redmond, WA 98052-5513 - Phone
- (425) 883-5020
- Fax
- (425) 556-6150
- NPI assigned
- Dec 28, 2006
- Last updated
- Mar 31, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00016015 | WA | Primary |
Addresses
Primary practice location
2701 156TH Ave NE
Redmond, WA 98052-5513
Mailing address
PO Box 34581
Seattle, WA 98124-1581
Phone (509) 241-7349
Other practice location 1
11511 NE 10th St
Bellevue, WA 98004-8578
Phone (425) 502-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8442006 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync | Health Information Exchange (HIE) |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1700942323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34581",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241581",
"telephone_number": "509-241-7349",
"fax_number": "509-241-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 156TH AVE NE",
"city": "REDMOND",
"state": "WA",
"postal_code": "980525513",
"telephone_number": "425-883-5020",
"fax_number": "425-556-6150"
}
],
"practiceLocations": [
{
"address_1": "11511 NE 10th St",
"address_purpose": "LOCATION",
"city": "Bellevue",
"state": "WA",
"postal_code": "980048578",
"country_code": "US",
"telephone_number": "425-502-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMERSON",
"first_name": "RUTH",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00016015",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8442006",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "11511 NE 10th St",
"city": "Bellevue",
"state": "WA",
"country_code": "US",
"postal_code": "980048578",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.