NANCY L NILES MD PLLC (NPI# 1639304413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639304413 |
| Entity Type | Organization |
| Organization Name | NANCY L NILES MD PLLC |
| Practice Address |
2611 Ne 125th St Suite 90 Seattle WA 98125-4373 |
| Mailing Address |
2611 Ne 125th St #90 Seattle WA 98125-4357 |
| Practice Telephone | 2063620035 |
| Mailing Telephone | 2065925000 |
| Mailing Fax Number | 2068249510 |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | NANCY L NILES (OWNER) |
| Authorized Official Telephone | 2063620035 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD00017593 | WA | Other Service Providers |
| Street Address |
2611 NE 125TH ST SUITE 90 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98125-4373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295719698 | Kathryn Mabel Hahn | Physical Therapist | 2611 Ne 125th St, Tai Northlake Physical Therapy Ste 140, Seattle, WA 98125-4357 | 2005-11-30 |
| 1518511369 | Anusha Reddy Etikala | Dentist | 2611 Ne 125th St, Seattle, WA 98125-4373 | 2019-07-30 |
| 1073090858 | Consejo Counseling and Referral Service - Lake City | Community/Behavioral Health | 2611 Ne 125th St, Suite 145, Seattle, WA 98125-4373 | 2018-07-24 |
| 1881141216 | Ally Lund | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2016-09-01 |
| 1144684051 | Lily Jei-ho Chang | Non-Pharmacy Dispensing Site | 2611 Ne 125th St, Suite 115, Seattle, WA 98125-4373 | 2016-04-06 |
| 1134585458 | Becky Brooker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2016-01-04 |
| 1780058099 | Vlinder Communication Therapies, Pllc | Speech-Language Pathologist | 2611 Ne 125th St, Suite 103, Seattle, WA 98125-4373 | 2015-11-24 |
| 1669848669 | Karin Kittay | Massage Therapist | 2611 Ne 125th St, Suite 240, Seattle, WA 98125-4373 | 2015-08-13 |
| 1013326339 | Devin Langaker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2014-08-12 |
| 1114352259 | Sarah Marie Walker | Physical Therapist | 2611 Ne 125th St, Suite 140, Seattle, WA 98125-4373 | 2013-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235771494 | Erin Renee Blood | Behavior Technician | 14301 30th Ave Ne, Seattle, WA 98125 | 2019-10-09 |
| 1023587912 | Ami Tsuchiya | Physical Therapist | 2611 Ne 125th St, Suite 90, Seattle, WA 98125 | 2018-11-20 |
| 1730603556 | Lauren Morgan | Counselor | 10125 Lake City Way Ne, Seattle, WA 98125 | 2017-08-02 |
| 1427572353 | Beverly Ann Williamson | Counselor | Community Psychiatric Clinic, 11000 Lake City Way, Ne, Seattle, WA 98125 | 2017-08-02 |
| 1902320229 | Lillian Marilynanne Olin | Nurse's Aide | 12728 28th Ave Ne Apt 510, Seattle, WA 98125 | 2017-07-28 |
| 1760913743 | Ariel Alon | Counselor | 13325 31st Ave Ne, Seattle, WA 98125 | 2017-03-22 |
| 1154872380 | Jean Hung | Naturopath | 12317 15th Ave Ne Suite #103, Seattle, WA 98125 | 2016-10-24 |
| 1063806438 | Hope Health Senior Care | Clinic/Center | 507ne Northgate Way, Suite #441, Seattle, WA 98125 | 2015-03-24 |
| 1073938585 | Lily Jei-ho Chang | Acupuncturist | 12710 102nd Ave Ne, Kirkland, WA 98125 | 2014-02-20 |
| 1033548177 | George Ray Coleman | Naturopath | 12520 26th Ave Ne, Unit B, Seattle, WA 98125 | 2013-11-08 |
| Find all providers in zip 98125 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477172963 | Gary W Bangs | Specialist | 325 9th Ave # Ms 359860, Seattle, WA 98104-2420 | 2020-04-14 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1447794391 | Ruth Aaronson | Specialist | 4636 E. Marginal Way, Seattle, WA 98134 | 2016-12-12 |
| 1386186807 | Kristin Jeanine Travis | Specialist | 8405 12th Ave S, Seattle, WA 98108-4418 | 2016-11-15 |
| 1700332186 | Dustin Eugene Taylor | Specialist | 9849 17th Ave Sw # 127, Seattle, WA 98106-2714 | 2016-08-26 |
| 1053865006 | Lifespan Biosciences | Specialist | 2401 4th Ave, Suite 900, Seattle, WA 98121-3419 | 2016-08-08 |
| 1699140426 | Trent L Tredway Md | Specialist | 901 Boren Ave Ste 600, Seattle, WA 98104-3596 | 2015-12-04 |
| 1467829226 | Elizabeth Terry | Specialist | 1601 N 52nd St, Seattle, WA 98103-6109 | 2015-08-27 |
| 1376929919 | Matthew Kory Grey | Specialist | 3001 Beacon Ave S, Seattle, WA 98144-5853 | 2015-08-05 |
| 1497130207 | Jaqulyn Nikole Carrell | Specialist | 3910 Montlake Blvd Ne, Seattle, WA 98195-0001 | 2015-07-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.