Active NPI
Sarah A Lux, MD
- Internal Medicine Physician
- Olympia, WA
National Provider Identifier
1912069527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00029089
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110221314 | Other | WA | RAILROAD MEDICARE |
| 3911LU | Other | WA | COUNTY PROVIDER NUMBER |
| 0149440 | Other | WA | LABOR & INDUSTRIES |
| 8134199 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD00029089 | WA | MD | Internal Medicine Physician |
Interoperability endpoints
- 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.