Organization Active NPI

Trillium Psychiatry, PLLC

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1013618529
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TRILLIUM PSYCHIATRY, PLLC
Practice address
2208 NW Market St Ste 430B
Seattle, WA 98107-4161
Phone
(206) 844-7832
NPI assigned
Mar 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Annette Anderson, ARNP, PMHNP-C, FNP-CNPI 1255713145
Title
Owner
Phone
(206) 844-7832

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

2208 NW Market St Ste 430B
Seattle, WA 98107-4161

Mailing address

2208 NW Market St Ste 430B
Seattle, WA 98107-4161
Phone (206) 844-7832

Other identifiers 1

IdentifierTypeStateIssuer
1255713145MedicaidWA

National Provider Directory

National Provider Directory

Locations

2208 NW Market St
Ste 430B
Seattle, WA 98107
Phone (206) 844-7832

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1013618529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST STE 430B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074161",
            "telephone_number": "206-844-7832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 NW MARKET ST STE 430B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981074161",
            "telephone_number": "206-844-7832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM PSYCHIATRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-13",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-844-7832",
        "authorized_official_credential": "ARNP, PMHNP-C, FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255713145",
            "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 Oct 28, 2024; 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.