Active NPI
Cherry Blossom Family Medicine PLLC
- Family Medicine Physician
- Burien, WA
National Provider Identifier
1992680896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CHERRY BLOSSOM FAMILY MEDICINE PLLC
- Practice address
- 13014 12TH Ave SW
Burien, WA 98146-3110 - Phone
- (206) 244-5805
- NPI assigned
- Aug 8, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrea Bachhuber-Beam
- Title
- Physician
- Phone
- (206) 244-5805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
13014 12TH Ave SW
Burien, WA 98146-3110
Mailing address
13014 12TH Ave SW
Burien, WA 98146-3110
Phone (206) 244-5805
Other names 1
- Cherry Blossom Family Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2343763 | Cherry Blossom Family Medicine, PLLC | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Burien, WA
- NPI 1326450404
-
- Family Medicine Physician
- Burien, WA
- NPI 1083696983
-
- Internal Medicine Physician
- Burien, WA
- NPI 1801877717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754611200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776038400000",
"number": "1992680896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13014 12TH AVE SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981463110",
"telephone_number": "206-244-5805",
"fax_number": "206-248-7362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13014 12TH AVE SW",
"city": "BURIEN",
"state": "WA",
"postal_code": "981463110",
"telephone_number": "206-244-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERRY BLOSSOM FAMILY MEDICINE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-08",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A",
"authorized_official_last_name": "BACHHUBER-BEAM",
"authorized_official_first_name": "ANDREA",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "206-244-5805"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Cherry Blossom Family Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.