Active NPI
Pietro M Poletti, MD
- Psychiatry Physician
- Lakewood, WA
National Provider Identifier
1144276759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00009424
- Practice address
- 9115 Bridgeport Way SW Ste 1
Lakewood, WA 98499-2449 - Phone
- (206) 743-4469
- Fax
- (425) 212-1808
- NPI assigned
- May 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00009424 | WA | Primary |
Addresses
Primary practice location
9115 Bridgeport Way SW Ste 1
Lakewood, WA 98499-2449
Mailing address
PO Box 1346
Lake Stevens, WA 98258-1346
Phone (206) 743-4469
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bywater Medical Consultants PLLC | Single Specialty | Past | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Single Specialty | Past | Accepting new patients |
| Cascade Psychiatric Services, PLLC | Single Specialty | Past | Accepting new patients |
| Sunderland Family Treatment Services | Single Specialty | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Mount Vernon, WA
- NPI 1033347422
Single Specialty
-
- Psychiatric Hospital Unit
- Mount Vernon, WA
- NPI 1457588386
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1144276759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1346",
"city": "LAKE STEVENS",
"state": "WA",
"postal_code": "982581346",
"telephone_number": "206-743-4469",
"fax_number": "425-212-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9115 BRIDGEPORT WAY SW STE 1",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984992449",
"telephone_number": "206-743-4469",
"fax_number": "425-212-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLETTI",
"first_name": "PIETRO",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00009424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.