Organization Active NPI

Burlington Family Practice PLLP

  • Family Medicine Physician
  • Burlington, WA
National Provider Identifier
1982639506
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BURLINGTON FAMILY PRACTICE PLLP
Practice address
835 E Fairhaven Ave
Burlington, WA 98233-0329
Phone
(360) 755-0641
Fax
(360) 755-1405
NPI assigned
Jul 12, 2006
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Ms. Sheena Gilbert
Title
Billing
Phone
(360) 755-0641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

835 E Fairhaven Ave
Burlington, WA 98233-0329

Mailing address

PO Box 329
Burlington, WA 98233-0329
Phone (360) 755-0641

Other identifiers 1

IdentifierTypeStateIssuer
7082860MedicaidWA

National Provider Directory

National Provider Directory

Locations

835 E Fairhaven Ave
Burlington, WA 98233
Phone (360) 755-0641

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1982639506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 329",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982330329",
            "telephone_number": "360-755-0641",
            "fax_number": "360-755-1405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E FAIRHAVEN AVE",
            "city": "BURLINGTON",
            "state": "WA",
            "postal_code": "982330329",
            "telephone_number": "360-755-0641",
            "fax_number": "360-755-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON FAMILY PRACTICE PLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "GILBERT",
        "authorized_official_first_name": "SHEENA",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "360-755-0641",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7082860",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.