Individual provider Active NPI

Morgan Alicia Cowger

  • Psychiatry Physician
  • Tukwila, WA
National Provider Identifier
1730682774
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DOS-2548-0 Issued in HI
Practice address
545 Andover Park W Ste 101
Tukwila, WA 98188-3347
Phone
(855) 549-0417
NPI assigned
Mar 15, 2018
Reactivated
Jul 1, 2020
Last updated
Jun 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DOSR-506 HI
Psychiatry Physician 2084P0800X DOS-2548-0 HI Primary

Addresses

Primary practice location

545 Andover Park W Ste 101
Tukwila, WA 98188-3347

Mailing address

545 Andover Park W Ste 101
Tukwila, WA 98188-3347

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 24, 2024 through Jul 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DOS-2548-0HIMDPsychiatry Physician
DOSR-506HIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amen Clinics Inc, Bellevue Psychiatry CurrentSince Jun 23, 2024 Accepting new patients
Western University of Health Sciences Past Accepting new patients

Locations

545 Andover Park W
Ste 101
Tukwila, WA 98188
Phone (425) 455-7500

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, 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": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1730682774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 ANDOVER PARK W STE 101",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 ANDOVER PARK W STE 101",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981883347",
            "telephone_number": "855-549-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWGER",
        "first_name": "MORGAN",
        "middle_name": "ALICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-15",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "deactivation_date": "2020-06-14",
        "reactivation_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "DOSR-506",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "HI",
            "license": "DOS-2548-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.