Active NPI
Elizabeth Lufburrow, MD
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1972686731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 025209
- Practice address
- 9730 3Rd Ave NE
#206
Seattle, WA 98115-2023 - Phone
- (206) 523-8018
- Fax
- (206) 523-7234
- NPI assigned
- Oct 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 025209 | WA | Primary |
Addresses
Primary practice location
9730 3Rd Ave NE
#206
Seattle, WA 98115-2023
Mailing address
9730 3Rd Ave NE
#206
Seattle, WA 98115-2023
Phone (206) 523-8018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1055425 | Medicaid | WA |
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 |
|---|---|---|---|
| 025209 | WA | MD | Ophthalmology 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": "1183852800000",
"number": "1972686731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9730 3RD AVE NE",
"address_2": "#206",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152023",
"telephone_number": "206-523-8018",
"fax_number": "206-523-7234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9730 3RD AVE NE",
"address_2": "#206",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152023",
"telephone_number": "206-523-8018",
"fax_number": "206-523-7234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUFBURROW",
"first_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "025209",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1055425",
"state": "WA"
}
],
"endpoints": [],
"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 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.