Costina Mai-Ly Papatheodorou, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO.OP.7010121 Issued in WA

Practice address

7211 W Deschutes Ave Ste B
Kennewick, WA 99336-7715

Phone

(509) 221-6930

NPI assigned

Apr 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Interoperability endpoints

• Direct secure messaging: costina.papatheodorou.2@18485.direct.athenahealth.com

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

{
    "created_epoch": "1681430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1033805791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7211 W DESCHUTES AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367715",
            "telephone_number": "509-221-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7211 W DESCHUTES AVE STE B",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367715",
            "telephone_number": "509-221-6930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7425 Wrigley Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pasco",
            "state": "WA",
            "postal_code": "993015292",
            "country_code": "US",
            "telephone_number": "509-545-6842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAPATHEODOROU",
        "first_name": "COSTINA",
        "middle_name": "MAI-LY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-14",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "DO.OP.7010121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacwest Kennewick LLC
• Matthew Palmblad, ARNP
• Lindsay Leeann Palmer, RDH
• Gerardo Palomino
• Ashley Palominos
• Paradigm Innovative Health PLLC
• Rhonda Paredes, LMP
• Brenda Parish, MA, LMHC
• Dennis J Park, DDS
• Christopher Austin Parker

• Family Medicine Physician in Kennewick, WA
• Providers in Kennewick, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.