Individual provider Active NPI

Jamie Treadway Nomitch, MD

  • Internal Medicine Physician
  • Seattle, WA
National Provider Identifier
1992169536
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.61050189 Issued in WA
Practice address
1959 NE Pacific St
Seattle, WA 98195-6522
Phone
(206) 616-8378
Fax
(206) 685-8673
NPI assigned
Apr 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.61050189 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-6522

Mailing address

1959 NE Pacific St
Bb1226 Health Sciences Building Box 356522
Seattle, WA 98195-6522
Phone (206) 616-8378

Other names 1

  • Dr. Jamie Pualani Treadway 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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD.61050189WAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1460246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1992169536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BB1226 HEALTH SCIENCES BUILDING BOX 356522",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956522",
            "telephone_number": "206-616-8378",
            "fax_number": "206-685-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956522",
            "telephone_number": "206-616-8378",
            "fax_number": "206-685-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOMITCH",
        "first_name": "JAMIE",
        "middle_name": "TREADWAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-10",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD.61050189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "TREADWAY",
            "middle_name": "PUALANI",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 May 12, 2022; 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.