Organization Active NPI

Transplant and Nephrology Northwest PLLC

  • Nephrology Physician
  • Seattle, WA
National Provider Identifier
1891991956
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
TRANSPLANT AND NEPHROLOGY NORTHWEST PLLC
Practice address
2150 N 107TH St
Suite 520
Seattle, WA 98133-1305
Phone
(206) 709-2009
Fax
(206) 709-2019
NPI assigned
Jun 25, 2007
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Glynis L Thakur
Title
Administrator
Phone
(206) 709-2009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X WA Primary

Addresses

Primary practice location

2150 N 107TH St
Suite 520
Seattle, WA 98133-1305

Mailing address

2150 N 107TH St
Suite 520
Seattle, WA 98133-1305
Phone (206) 709-2009

Other identifiers 1

IdentifierTypeStateIssuer
7109598MedicaidWA

National Provider Directory

National Provider Directory

Locations

155 NE 100th St
Ste 115
Seattle, WA 98125
Phone (206) 709-2009

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1891991956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 N 107TH ST",
            "address_2": "SUITE 520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331305",
            "telephone_number": "206-709-2009",
            "fax_number": "206-709-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 N 107TH ST",
            "address_2": "SUITE 520",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981331305",
            "telephone_number": "206-709-2009",
            "fax_number": "206-709-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSPLANT AND NEPHROLOGY NORTHWEST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "THAKUR",
        "authorized_official_first_name": "GLYNIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "206-709-2009",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109598",
            "state": "WA"
        }
    ],
    "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 Jun 18, 2008; 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.