Individual provider Active NPI

Deborah E Klein, MD

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1932282902
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00030066 Issued in WA
Practice address
1001 Fourth Ave Plaza, Ste 420
Seattle, WA 98154
Phone
(206) 320-3351
Fax
(206) 554-7787
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00030066 WA Primary

Addresses

Primary practice location

1001 Fourth Ave Plaza, Ste 420
Seattle, WA 98154

Mailing address

PO Box 34472
Seattle, WA 98124-1472
Phone (206) 320-3351

Other practice location 1

800 5th Ave Ste P100
Seattle, WA 98104-3176
Phone (206) 320-3351

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dklein1042156@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
MD00030066WAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1932282902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34472",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241472",
            "telephone_number": "206-320-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FOURTH AVE PLAZA, STE 420",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98154",
            "telephone_number": "206-320-3351",
            "fax_number": "206-554-7787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 5th Ave Ste P100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981043176",
            "country_code": "US",
            "telephone_number": "206-320-3351",
            "fax_number": "206-554-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "DEBORAH",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00030066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dklein1042156@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "800 5th Ave Ste P100",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981043176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 7, 2020; 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.