Individual provider Active NPI

Rebecca Lynn Shwartz, M.D.

  • Pediatrics Physician
  • Renton, WA
National Provider Identifier
1720353196
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD60569321 Issued in WA
Practice address
4033 Talbot Rd S Ste 200
Renton, WA 98055-5751
Phone
(206) 598-3000
NPI assigned
Mar 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ML 60292587 WA
Pediatrics Physician 208000000X MD60569321 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S Ste 200
Renton, WA 98055-5751

Mailing address

4033 Talbot Rd S Ste 200
Renton, WA 98055-5751
Phone (425) 271-5437

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
MD60569321WAMDPediatrics Physician
ML 60292587WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District 1 of King County Past Accepting new patients
Renton Pediatric Associates, PS Past Accepting new patients

Organizations & group practices 2

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": "1332028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1720353196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555751",
            "telephone_number": "425-271-5437",
            "fax_number": "425-656-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 200",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555751",
            "telephone_number": "206-598-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHWARTZ",
        "first_name": "REBECCA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-18",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "ML 60292587",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60569321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.