Active NPI
Aster NW Surgical Assists
- Surgical Physician Assistant
- Seattle, WA
National Provider Identifier
1932516895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- Legal business name
- ASTER NW SURGICAL ASSISTS
- Practice address
- 747 Broadway
Seattle, WA 98122-4379 - Phone
- (360) 588-8457
- NPI assigned
- Jul 11, 2014
- Last updated
- Nov 3, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandea Kelley, PA-C
- Title
- Owner
- Phone
- (360) 588-8457
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | NU | Primary |
Addresses
Primary practice location
747 Broadway
Seattle, WA 98122-4379
Mailing address
PO Box 30549
Seattle, WA 98113-0549
Phone (360) 588-8457
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 603409817 | Other | WA | UBI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405036800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414972800000",
"number": "1932516895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 30549",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981130549",
"telephone_number": "360-588-8457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "747 BROADWAY",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981224379",
"telephone_number": "360-588-8457"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASTER NW SURGICAL ASSISTS",
"organizational_subpart": "NO",
"enumeration_date": "2014-07-11",
"last_updated": "2014-11-03",
"status": "A",
"authorized_official_last_name": "KELLEY",
"authorized_official_first_name": "BRANDEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "360-588-8457",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI",
"identifier": "603409817",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
- Association of University Physicians (University of Washington Physicians)
- Association of University Physicians (University of Washington Physicians)
- Association of University Physicians (University of Washington Physicians)
- Julianna Marie Astaire, MSW
- David J Astaphan, PA-C
- Aster, LLC
- Claudia Caceres Astigarraga, MD
- Michael L Astion
- Suzanne Astley, ARNP
- Selena Aston
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.