Active NPI
Brenda Martinez Davila, RN
- Family Nurse Practitioner
- Lynnwood, WA
National Provider Identifier
1124846266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61653139
- Practice address
- 4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765 - Phone
- (425) 616-4100
- Fax
- (425) 616-4115
- NPI assigned
- Sep 27, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN61249432 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61653139 | WA | Primary |
Addresses
Primary practice location
4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
232 2nd Ave S
Kent, WA 98032-5862
Phone (206) 436-6380
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea-Mar Community Health Center | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Registered Nurse | Current | Accepting new patients |
| Sea Mar Community Health Centers | Family | Current | Accepting new patients |
Locations
4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100
1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075
1040 S Henderson St
Seattle, WA 98108
Phone (206) 763-5210
Interoperability endpoints
- bdavila731913@direct.multicare.org
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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
Registered Nurse
-
- Federally Qualified Health Center (FQHC)
- Mount Vernon, WA
- NPI 1881742724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1124846266",
"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": "4111 ALDERWOOD MALL BLVD",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980366765",
"telephone_number": "425-616-4100",
"fax_number": "425-616-4115"
}
],
"practiceLocations": [
{
"address_1": "232 2nd Ave S",
"address_purpose": "LOCATION",
"city": "Kent",
"state": "WA",
"postal_code": "980325862",
"country_code": "US",
"telephone_number": "206-436-6380",
"fax_number": "206-436-6368",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVILA",
"first_name": "BRENDA",
"middle_name": "MARTINEZ",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-27",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN61249432",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61653139",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.