Active NPI
Caitlin E Hancock, LMP
- Specialist
- Issaquah, WA
National Provider Identifier
1730358136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA00018997
- Practice address
- 660 NW Gilman Blvd.
Suite C4
Issaquah, WA 98027 - Phone
- (425) 391-2380
- NPI assigned
- Feb 29, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA00018997 | WA | Primary |
Addresses
Primary practice location
660 NW Gilman Blvd.
Suite C4
Issaquah, WA 98027
Mailing address
515 Newport Way NW
#A2
Issaquah, WA 98027
Phone (206) 661-8703
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 |
|---|---|---|---|
| MA00018997 | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1730358136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 NEWPORT WAY NW",
"address_2": "#A2",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "206-661-8703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 NW GILMAN BLVD.",
"address_2": "SUITE C4",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "425-391-2380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANCOCK",
"first_name": "CAITLIN",
"middle_name": "E",
"credential": "LMP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA00018997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.