Individual provider Active NPI

Heather Dimmitt, MEDICAL STUDENT

  • Student in an Organized Health Care Education/Training Program
  • Seattle, WA
National Provider Identifier
1992188346
Registry record updated Jul 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4733 21St Ave NE
Apartment 204
Seattle, WA 98105-6670
Phone
(904) 993-1317
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

4733 21St Ave NE
Apartment 204
Seattle, WA 98105-6670

Mailing address

4733 21St Ave NE
Apartment 204
Seattle, WA 98105-6670
Phone (904) 993-1317

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170717003357 WA Order and Referring Only - Family PracticePractitioner - Family Practice 7113297680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1992188346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4733 21ST AVE NE",
            "address_2": "APARTMENT 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056670",
            "telephone_number": "904-993-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4733 21ST AVE NE",
            "address_2": "APARTMENT 204",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981056670",
            "telephone_number": "904-993-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMMITT",
        "first_name": "HEATHER",
        "credential": "MEDICAL STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.