Individual provider Active NPI

Rhea Kulikova, ORTHOTIST

  • Prosthetics Case Management
  • Seattle, WA
National Provider Identifier
1821271909
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
0100000481 Issued in WA
Practice address
411 12TH Ave
Seattle, WA 98122-5577
Phone
(206) 328-4276
Fax
(206) 328-1037
NPI assigned
Dec 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 0100000481 WA Primary

Addresses

Primary practice location

411 12TH Ave
Seattle, WA 98122-5577

Mailing address

411 12TH Ave
Seattle, WA 98122-5577
Phone (206) 328-4276

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
0100000481WAMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1821271909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225577",
            "telephone_number": "206-328-4276",
            "fax_number": "206-328-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 12TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225577",
            "telephone_number": "206-328-4276",
            "fax_number": "206-328-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIKOVA",
        "first_name": "RHEA",
        "name_prefix": "Mrs.",
        "credential": "ORTHOTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "WA",
            "license": "0100000481",
            "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 Dec 11, 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.