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MADRONA DERMATOLOGY PLLC
NPI 1679963367
Dermatology in Kirkland, WA

Active since February 02, 2015CLIA 50D2094465 · Microscopy
13118 120TH AVE NE, KIRKLAND, WA 98034(650) 380-0776 Get Directions Write a Review

NPPES record last updated: February 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Madrona Dermatology Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADRONA DERMATOLOGY PLLC (NPI 1679963367) is a healthcare organization registered as a dermatology in Kirkland, Washington and active in the NPI registry since February 2015. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Sarah Elizabeth Dick, Owner, as its authorized official.

NPPES Registry Identity

NPI1679963367
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameMADRONA DERMATOLOGY PLLC
Location Address13118 120TH AVE NEKirkland, WA 98034-3014
Mailing Address13118 120th Ave NeKirkland, WA 98034-3014 · (650) 380-0776
Phone(650) 380-0776
Organization SubpartNo
Authorized OfficialSarah Elizabeth DickOwner · (650) 380-0776
Enumeration DateFebruary 2, 2015
✔ NPI 1679963367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in WA · 35157
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
13118 120TH AVE NE, Kirkland, WA 98034
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2094465

Madrona Dermatology PLLC · Kirkland, WA
Active · expires Apr 4, 2028
CLIA Number50D2094465
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2015
Certificate Expiration DateApril 4, 2028
Laboratory DirectorSarah E. Dick
Laboratory Phone(425) 298-4951
Laboratory LocationMadrona Dermatology PLLC13118 120th Ave NE, Kirkland, WA 98034
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH ELIZABETH DICK MD
Dermatology
13118 120TH AVE NE
KIRKLAND, WA 98034
King County (425) 298-4951
NHUNG THI MY HO P.A.
Physician Assistant
13118 120TH AVE NE
KIRKLAND, WA 98034
King County (425) 298-4951

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madrona Dermatology PLLC's NPI number?

The NPI number for Madrona Dermatology PLLC is 1679963367. It was assigned to this organization in the NPPES registry on February 2, 2015.

Where is Madrona Dermatology PLLC located?

Madrona Dermatology PLLC is located at 13118 120th Ave NE, Kirkland, WA 98034. The listed phone number is (650) 380-0776.

What is Madrona Dermatology PLLC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Does Madrona Dermatology PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 50D2094465) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Madrona Dermatology PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Madrona Dermatology PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Madrona Dermatology PLLC was last updated on February 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.