Individual provider Active NPI

Mali Lilac Piottin, LMP

  • Specialist
  • Seattle, WA
National Provider Identifier
1992881981
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MA00003771 Issued in WA
Practice address
6300 9TH Ave NE
Suite 359
Seattle, WA 98115-8517
Phone
(206) 387-2962
Fax
(206) 528-5900
NPI assigned
Oct 31, 2006
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
Specialist 174400000X MA00003771 WA Primary

Addresses

Primary practice location

6300 9TH Ave NE
Suite 359
Seattle, WA 98115-8517

Mailing address

1552 N 128TH St
Seattle, WA 98133-7700
Phone (206) 387-2962

Other identifiers 2

IdentifierTypeStateIssuer
64974OtherWADPT OF LABOR & INDUSTRIES
PI 7023OtherWAREGENCE

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
MA00003771WAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992881981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 N 128TH ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981337700",
            "telephone_number": "206-387-2962",
            "fax_number": "206-528-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 9TH AVE NE",
            "address_2": "SUITE 359",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981158517",
            "telephone_number": "206-387-2962",
            "fax_number": "206-528-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIOTTIN",
        "first_name": "MALI",
        "middle_name": "LILAC",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00003771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPT OF LABOR & INDUSTRIES",
            "identifier": "64974",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "PI 7023",
            "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.