Individual provider Active NPI

Anne C. Geil, LMP

  • Specialist
  • Shoreline, WA
National Provider Identifier
1932300753
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA6008 Issued in WA
Practice address
18021 15TH Ave NE
106
Shoreline, WA 98155-3809
Phone
(206) 365-0110
Fax
(206) 365-1920
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MA6008 WA Primary

Addresses

Primary practice location

18021 15TH Ave NE
106
Shoreline, WA 98155-3809

Mailing address

PO Box 55267
Shoreline, WA 98155-0267
Phone (206) 365-0110

Other names 1

  • Anne C. Bujacich Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA6008WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932300753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55267",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981550267",
            "telephone_number": "206-365-0110",
            "fax_number": "206-365-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18021 15TH AVE NE",
            "address_2": "106",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981553809",
            "telephone_number": "206-365-0110",
            "fax_number": "206-365-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIL",
        "first_name": "ANNE",
        "middle_name": "C.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA6008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "BUJACICH",
            "middle_name": "C.",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shoreline, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.