Individual provider Active NPI

Lindsay Marie Miles, CMA, PHLEBOTOMY

  • Student in an Organized Health Care Education/Training Program
  • Auburn, WA
National Provider Identifier
1780135889
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
X2G2Z5F8 Issued in VA
Practice address
3227 S 368TH PL
Auburn, WA 98001-8839
Phone
(206) 637-7389
NPI assigned
Oct 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X X2G2Z5F8 VA Primary
Student in an Organized Health Care Education/Training Program 390200000X A3L5B5F4 VA

Addresses

Primary practice location

3227 S 368TH PL
Auburn, WA 98001-8839

Mailing address

3227 S 368TH PL
Auburn, WA 98001-8839
Phone (206) 637-7389

Other names 1

  • Lindsay Marie Betancourt Former name

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
Credentials
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
A3L5B5F4VAMDStudent in an Organized Health Care Education/Training Program
X2G2Z5F8VAMDStudent 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": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1780135889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3227 S 368TH PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980018839",
            "telephone_number": "206-637-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3227 S 368TH PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980018839",
            "telephone_number": "206-637-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILES",
        "first_name": "LINDSAY",
        "middle_name": "MARIE",
        "credential": "CMA, PHLEBOTOMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "X2G2Z5F8",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "A3L5B5F4",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDSAY",
            "last_name": "BETANCOURT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2016; 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.