NPIMap

Organization Active NPI

Northwest Hospital Provider Trust

Doing business as Kent Sullivan, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Seattle, WA
National Provider Identifier
1770545352
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
NORTHWEST HOSPITAL PROVIDER TRUST
Doing business as
Kent Sullivan, MD
Practice address
1530 N 115TH St
Suite 107
Seattle, WA 98133-8421
Phone
(206) 368-6560
Fax
(206) 368-6562
NPI assigned
Apr 6, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Ms. Kristi Hamlet
Title
Clinic Manager
Phone
(206) 368-6572

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

1530 N 115TH St
Suite 107
Seattle, WA 98133-8421

Mailing address

1530 N 115TH St
Suite107
Seattle, WA 98133-8421
Phone (206) 368-6560

Other names 1

  • Kent Sullivan, MD Doing business as

National Provider Directory

National Provider Directory

Locations

1530 N 115th St
#107
Seattle, WA 98133
Phone (206) 348-6560

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1770545352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338421",
            "telephone_number": "206-368-6560",
            "fax_number": "206-368-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 N 115TH ST",
            "address_2": "SUITE 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338421",
            "telephone_number": "206-368-6560",
            "fax_number": "206-368-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST HOSPITAL PROVIDER TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "HAMLET",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "206-368-6572",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kent Sullivan, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 6, 2007; 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.