Individual provider Active NPI

Sarah A Lux, MD

  • Internal Medicine Physician
  • Olympia, WA
National Provider Identifier
1912069527
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00029089 Issued in WA
Practice address
3425 Ensign Rd NE Ste 220
Olympia, WA 98506-5063
Phone
(360) 493-5255
Fax
(360) 493-4777
NPI assigned
Dec 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00029089 WA Primary

Addresses

Primary practice location

3425 Ensign Rd NE Ste 220
Olympia, WA 98506-5063

Mailing address

PO Box 3360
Portland, OR 97208-3360

Other practice location 1

3425 Ensign Rd NE
Suite 220
Olympia, WA 98506-5425
Phone (360) 491-1112

Other practice location 2

525 Lilly Rd NE Ste 250
Olympia, WA 98506-5101
Phone (360) 486-6777

Other identifiers 4

IdentifierTypeStateIssuer
110221314OtherWARAILROAD MEDICARE
3911LUOtherWACOUNTY PROVIDER NUMBER
0149440OtherWALABOR & INDUSTRIES
8134199MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address slux92235@wm.providencedirect.org Direct

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00029089WAMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: slux92235@wm.providencedirect.org

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1912069527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 ENSIGN RD NE STE 220",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065063",
            "telephone_number": "360-493-5255",
            "fax_number": "360-493-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3425 Ensign Rd NE",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065425",
            "country_code": "US",
            "telephone_number": "360-491-1112",
            "fax_number": "360-493-8160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 Lilly Rd NE Ste 250",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065101",
            "country_code": "US",
            "telephone_number": "360-486-6777",
            "fax_number": "360-486-6778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUX",
        "first_name": "SARAH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-14",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00029089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110221314",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COUNTY PROVIDER NUMBER",
            "identifier": "3911LU",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "0149440",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8134199",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "slux92235@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "525 Lilly Rd NE Ste 250",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.