Active NPI
Dee Dee Vasquez, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Burien, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60616150
- Practice address
- 1210 SW 136TH St
Burien, WA 98166-1214 - Phone
- (206) 257-6600
- NPI assigned
- Nov 15, 2015
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60616150 | WA | Primary |
| Registered Nurse | 163W00000X | RN60363461 | WA |
Addresses
Primary practice location
1210 SW 136TH St
Burien, WA 98166-1214
Mailing address
1210 SW 136TH St
Burien, WA 98166-1214
Phone (206) 257-6600
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10634 E Riverside Dr
Suite 130
Bothell, WA 98011-3758
Phone (425) 806-5021
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60616150 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Puget Sound Psychiatric Center, PS | Psychiatric/Mental Health | Current | Accepting new patients |
| Navos | Current | Accepting new patients | |
| Navos | Current | Accepting new patients |
Locations
10634 E Riverside Dr
Ste 130
Bothell, WA 98011
Phone (425) 806-5021
1210 SW 136th St
Burien, WA 98166
Phone (206) 257-6600
2600 SW Holden St
Seattle, WA 98126
Phone (206) 241-0990
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.
-
- Psychiatry Physician
- Bothell, WA
- NPI 1114254729
Psychiatric/Mental Health
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Seattle, WA
- NPI 1194728105
-
- Psychiatric Hospital
- Seattle, WA
- NPI 1124034699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447545600000",
"number": "1205200201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 SW 136TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661214",
"telephone_number": "206-257-6600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 SW 136TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661214",
"telephone_number": "206-257-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ",
"first_name": "DEE DEE",
"name_prefix": "Ms.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-15",
"last_updated": "2015-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60616150",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60363461",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.