Individual provider Active NPI

Vanessa Feliciano, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1063447365
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60217403 Issued in WA
Practice address
9650 15TH Ave SW Ste 100
Seattle, WA 98106-2576
Phone
(206) 965-1000
Fax
(206) 965-1001
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60217403 WA Primary

Addresses

Primary practice location

9650 15TH Ave SW Ste 100
Seattle, WA 98106-2576

Mailing address

PO Box 34703
Seattle, WA 98124-1703

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111019000822 WA Practitioner - Family Practice 4688664261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

8720 14TH Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730

9650 15TH Ave SW
Seattle, WA 98106-2576
Phone (206) 965-1000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Medicine Current Accepting new patients
Sea Mar Community Health Centers Family Medicine CurrentSince Jul 19, 2017 Accepting new patients
Sea Mar Community Health Centers CurrentSince Jul 19, 2017 Accepting new patients
Santo Domingo Health Clinic Past Accepting new patients
Sea-Mar Community Health Center Family Medicine Past Accepting new patients
San Felipe Health Clinic Past Accepting new patients

Locations

9650 15th Ave SW
Ste 100
Seattle, WA 98106
Phone (206) 965-1000

9650 15th Ave SW
Seattle, WA 98106
Phone (206) 965-1000

8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730

Organizations & group practices 6

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1063447365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9650 15TH AVE SW STE 100",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981062576",
            "telephone_number": "206-965-1000",
            "fax_number": "206-965-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELICIANO",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60217403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.