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
- 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) 257-7780
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1427169911
-
- Nurse Practitioner
- Yakima, WA
- 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.