Active NPI
Andrea E. Dunn, P.A.
- Medical Physician Assistant
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA10003403
- Practice address
- 611 31St Ave SW
Puyallup, WA 98373-3723 - Phone
- (253) 445-7100
- NPI assigned
- Jan 25, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10003403 | WA | Primary |
Addresses
Primary practice location
611 31St Ave SW
Puyallup, WA 98373-3723
Mailing address
1007 39TH Ave. SE
Puyallup, WA 98374-2192
Phone (253) 435-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8356891 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Emory University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1007 39TH Ave SE
Puyallup, WA 98374-2192
Phone (253) 435-3100
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444-1858
Phone (253) 597-6800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients |
Locations
2741 Wheaton Way
Ste A
Bremerton, WA 98310
Phone (360) 405-5110
14701 179th Ave SE
Monroe, WA 98272
Phone (360) 794-1409
3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000
19379 7th Ave NE
Poulsbo, WA 98370
Phone (360) 394-1000
1007 39th Ave SE
Puyallup, WA 98374
Phone (253) 435-3100
611 31st Ave SW
Puyallup, WA 98373
Phone (253) 445-7100
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- adunn16710@ghc.direct-ci.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1124264577
-
dba Everett Medical Center
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446076800000",
"number": "1033265913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 39TH AVE. SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983742192",
"telephone_number": "253-435-3100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 31ST AVE SW",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983733723",
"telephone_number": "253-445-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNN",
"first_name": "ANDREA",
"middle_name": "E.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2015-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA10003403",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8356891",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.