Individual provider Active NPI

Randi Jewell Lindstrom, D.O.

  • Emergency Medicine Physician
  • Seattle, WA
National Provider Identifier
1073806477
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP60318649 Issued in WA
Practice address
5916 41St Ave SW
Seattle, WA 98136-1604
Phone
(206) 900-2492
Fax
(206) 900-2492
NPI assigned
May 18, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DO2224 NV
Emergency Medicine Physician 207P00000X OP60318649 WA Primary

Addresses

Primary practice location

5916 41St Ave SW
Seattle, WA 98136-1604

Mailing address

5916 41St Ave SW
Seattle, WA 98136
Phone (206) 900-2492

Other practice location 1

1515 Dock St
unit 204
Tacoma, WA 98402-3252
Phone (206) 900-2492

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
I20160623001412 WA Practitioner - Emergency Medicine 7618268582 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seattle Emergency Physicians Services Inc PSGroup PAC ID 4284521691, 40 clinicians

Practice addresses (Care Compare)

747 Broadway
Seattle, WA 98122-4379
Phone (360) 658-2488

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2224NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Nov 1, 2018 Accepting new patients
Multicare Health System CurrentSince Jul 1, 2016 Accepting new patients
Grays Harbor Community Hospital Current Accepting new patients
Prosser Public Hospital District of Benton County Current Accepting new patients
Seattle Emergency Physicians Services Inc PS Emergency Medicine CurrentSince Feb 1, 2020 Accepting new patients
Multicare Health System CurrentSince Jul 1, 2016 Accepting new patients
Grays Harbor Community Hospital CurrentSince May 6, 2017 Accepting new patients
Multicare Health System Current Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Nov 1, 2018 Accepting new patients
Grays Harbor House Hospitalist CurrentSince May 6, 2017 Accepting new patients

Locations

915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073806477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5916 41ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98136",
            "telephone_number": "206-900-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5916 41ST AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361604",
            "telephone_number": "206-900-2492",
            "fax_number": "206-900-2492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 Dock St",
            "address_2": "unit 204",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984023252",
            "country_code": "US",
            "telephone_number": "206-900-2492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDSTROM",
        "first_name": "RANDI",
        "middle_name": "JEWELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO2224",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP60318649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.