Individual provider Active NPI

Rebecca Candice Crosetto, M.G.C.

  • Genetic Counselor (M.S.)
  • Renton, WA
National Provider Identifier
1043482532
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GT60204050 Issued in WA
Practice address
4033 Talbot Rd S Ste 450
Renton, WA 98055-5767
Phone
(425) 690-3477
Fax
(425) 690-9477
NPI assigned
Mar 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X GT60204050 WA Primary

Addresses

Primary practice location

4033 Talbot Rd S Ste 450
Renton, WA 98055-5767

Mailing address

3600 Lind Ave SW
Suite 100 Attn Credentialing
Renton, WA 98057
Phone (425) 690-3477

Other practice location 1

1105 Division Ave
Suite 201
Tacoma, WA 98403-1646
Phone (253) 403-9200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
GT60204050WAMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Past Accepting new patients
Multicare Health System Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1206403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1043482532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LIND AVE SW",
            "address_2": "SUITE 100 ATTN CREDENTIALING",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "98057",
            "telephone_number": "425-690-3477",
            "fax_number": "425-690-9477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 TALBOT RD S STE 450",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555767",
            "telephone_number": "425-690-3477",
            "fax_number": "425-690-9477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Division Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984031646",
            "country_code": "US",
            "telephone_number": "253-403-9200",
            "fax_number": "253-403-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROSETTO",
        "first_name": "REBECCA",
        "middle_name": "CANDICE",
        "credential": "M.G.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-25",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "WA",
            "license": "GT60204050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.