Active NPI
Fremont Family Practice LLC
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 602228609
- Legal business name
- FREMONT FAMILY PRACTICE LLC
- Practice address
- 6804 Greenwood Ave N
Seattle, WA 98103-5228 - Phone
- (206) 257-7380
- NPI assigned
- Jan 4, 2007
- Last updated
- Aug 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- David Harvey
- Title
- Medical Doctor
- Phone
- (206) 257-7380
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 602228609 | WA | Primary |
Addresses
Primary practice location
6804 Greenwood Ave N
Seattle, WA 98103-5228
Mailing address
4464 Fremont Ave N
Suite 103
Seattle, WA 98103-7273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1006765 | Fremont Family Practice, LLC | Provider-performed microscopy | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
4464 Fremont Ave N
Ste 103
Seattle, WA 98103
Phone (206) 267-7300
6804 Greenwood Ave N
Seattle, WA 98103
Phone (206) 257-7380
Practitioners & affiliated clinicians
Practitioners 12
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1427169911
-
- Nurse Practitioner
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- NPI 1316491251
-
- Family Nurse Practitioner
- Seattle, WA
- NPI 1538601927
-
- Family Medicine Physician
- Seattle, WA
- NPI 1194813600
-
- Family Medicine Physician
- Burien, WA
- NPI 1134327414
-
- Nurse Practitioner
- Seattle, WA
- NPI 1861408825
-
- Family Medicine Physician
- Everett, WA
- NPI 1922151612
-
- Family Medicine Physician
- Lynnwood, WA
- NPI 1891963468
-
- Nurse Practitioner
- Seattle, WA
- NPI 1689759490
-
- Family Medicine Physician
- Auburn, WA
- NPI 1376566794
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831279819
-
- Psychiatric/Mental Health Nurse Practitioner
- Federal Way, WA
- NPI 1194549170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660003200000",
"number": "1871640581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4464 FREMONT AVE N",
"address_2": "SUITE 103",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981037273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6804 GREENWOOD AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981035228",
"telephone_number": "206-257-7380"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FREMONT FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-04",
"last_updated": "2022-08-09",
"certification_date": "2022-08-09",
"status": "A",
"authorized_official_last_name": "HARVEY",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "MEDICAL DOCTOR",
"authorized_official_telephone_number": "206-257-7380"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "602228609",
"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 Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.