Individual provider Active NPI

Peter Austin Norkus, LSWAIC

  • Student in an Organized Health Care Education/Training Program
  • Seattle, WA
National Provider Identifier
1770021008
Registry record updated Feb 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
SC 60635149 Issued in WA
Practice address
1700 Westlake Ave N
Suite 700
Seattle, WA 98109-3012
Phone
(206) 283-2220
NPI assigned
Feb 7, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X SC 60635149 WA Primary

Addresses

Primary practice location

1700 Westlake Ave N
Suite 700
Seattle, WA 98109-3012

Mailing address

125 SW Campus Dr
Apt 6-104
Federal Way, WA 98023-8365
Phone (616) 558-6606

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

LicenseStateTypeSpecialty
SC 60635149WAMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1770021008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SW CAMPUS DR",
            "address_2": "APT 6-104",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980238365",
            "telephone_number": "616-558-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WESTLAKE AVE N",
            "address_2": "SUITE 700",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981093012",
            "telephone_number": "206-283-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORKUS",
        "first_name": "PETER",
        "middle_name": "AUSTIN",
        "credential": "LSWAIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "WA",
            "license": "SC 60635149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; 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.