Individual provider Active NPI

Monique Rochelle Radman-Harrison, MD, MAS

  • Pediatric Critical Care Medicine Physician
  • Seattle, WA
National Provider Identifier
1891953097
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
60454608 Issued in WA
Practice address
4800 Sand Point Way NE # Fa.2112
Seattle, WA 98105-3901
Phone
(206) 987-4074
Fax
(206) 987-3866
NPI assigned
May 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A102330 CA
Pediatric Critical Care Medicine Physician 2080P0203X 60454608 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE # Fa.2112
Seattle, WA 98105-3901

Mailing address

4800 Sand Point Way NE # RC.2820
Seattle, WA 98105-3901
Phone (206) 987-4074

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141110002548 WA Practitioner - Pediatric Medicine 3072735828 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A102330CAMDPediatrics Physician
60454608WAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of Chrmc and University Physicians Pediatrics CurrentSince Aug 17, 2014 Accepting new patients
Association of CHMC and University Physicians Pediatrics CurrentSince Aug 17, 2014 Accepting new patients

Locations

900 Pacific Ave
Ste 100
Everett, WA 98201
Phone (425) 304-6080

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

4800 Sand Point Way NE
#2112
Seattle, WA 98105
Phone (206) 987-3721

4800 Sand Point Way NE
#2820
Seattle, WA 98105
Phone (206) 987-1676

Interoperability endpoints

  • Direct secure messaging: mradman35782@direct.seattlechildrens.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1891953097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE # RC.2820",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-4074",
            "fax_number": "206-987-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE # FA.2112",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "206-987-4074",
            "fax_number": "206-987-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADMAN-HARRISON",
        "first_name": "MONIQUE",
        "middle_name": "ROCHELLE",
        "name_prefix": "Dr.",
        "credential": "MD, MAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-26",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A102330",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "WA",
            "license": "60454608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.