Individual provider Active NPI

Audra L Meador, LMP

  • Contractor
  • Seattle, WA
National Provider Identifier
1982810552
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
4744 41St Ave SW
102
Seattle, WA 98116-4570
Phone
(206) 248-0150
Fax
(206) 248-9306
NPI assigned
May 14, 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
Contractor 171W00000X WA Primary

Addresses

Primary practice location

4744 41St Ave SW
102
Seattle, WA 98116-4570

Mailing address

4744 41St Ave SW
102
Seattle, WA 98116-4570
Phone (206) 248-0150

Other identifiers 2

IdentifierTypeStateIssuer
6019960260010001OtherWAUBI NUMBER
MAOOOO9805OtherWALMP

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
MA000009805WAMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982810552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4744 41ST AVE SW",
            "address_2": "102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164570",
            "telephone_number": "206-248-0150",
            "fax_number": "206-248-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4744 41ST AVE SW",
            "address_2": "102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981164570",
            "telephone_number": "206-248-0150",
            "fax_number": "206-248-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOR",
        "first_name": "AUDRA",
        "middle_name": "L",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBI NUMBER",
            "identifier": "6019960260010001",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMP",
            "identifier": "MAOOOO9805",
            "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.

Verify at the official NPI Registry.