Organization Active NPI

Integrationworks LLC

  • Contractor
  • Bellevue, WA
National Provider Identifier
1740446772
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
602812545 Issued in WA
Legal business name
INTEGRATIONWORKS LLC
Practice address
2025 112TH Ave NE
Suite 300
Bellevue, WA 98004-2943
Phone
(206) 328-5143
Fax
(425) 452-5683
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Authorized official

Name
Ms. Karen A Petersen, CHP, LMP
Title
Manager
Phone
(206) 328-5143

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193400000X SINGLE SPECIALTY GROUP 171W00000X 602812545 WA Primary

Addresses

Primary practice location

2025 112TH Ave NE
Suite 300
Bellevue, WA 98004-2943

Mailing address

2025 112TH Ave NE
Suite 300
Bellevue, WA 98004-2943
Phone (206) 328-5143

National Provider Directory

National Provider Directory

Locations

2025 112th Ave NE
Ste 300
Bellevue, WA 98004
Phone (425) 451-9836

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1740446772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 112TH AVE NE",
            "address_2": "SUITE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042943",
            "telephone_number": "206-328-5143",
            "fax_number": "425-452-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 112TH AVE NE",
            "address_2": "SUITE 300",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980042943",
            "telephone_number": "206-328-5143",
            "fax_number": "425-452-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIONWORKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "206-328-5143",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CHP, LMP"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Contractor",
            "state": "WA",
            "license": "602812545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.