Individual provider Active NPI

Bianca Reis, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1205471059
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61074587 Issued in WA
Practice address
101 Elliott Ave W Ste 500
Seattle, WA 98119-4292
Phone
(425) 640-7009
NPI assigned
Nov 14, 2019
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 60015020 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61074587 WA Primary

Addresses

Primary practice location

101 Elliott Ave W Ste 500
Seattle, WA 98119-4292

Mailing address

2212 Queen Anne Ave N # 742
Seattle, WA 98109-2383

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200923002940 WA Practitioner - Nurse Practitioner 4385063452 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

101 Elliott Ave W
Suite 500
Seattle, WA 98119-4292
Phone (425) 640-7009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
60015020WAMDPsychiatric/Mental Health Registered Nurse
AP61074587WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborcare Health CurrentSince Feb 5, 2022 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince Apr 26, 2023 Accepting new patients
Neighborcare Health Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Jul 28, 2020 Accepting new patients
Neighborcare Health CurrentSince Feb 5, 2022 Accepting new patients
Sea Mar Community Health Centers Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Jul 28, 2020 Accepting new patients
Valley Cities Counseling and Consultation CurrentSince Oct 18, 2021 Accepting new patients

Locations

2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415

325 W Gowe St
Kent, WA 98032

4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

101 Elliott Ave W
Ste 500
Seattle, WA 98119
Phone (206) 708-6432

10521 Meridian Ave N
Seattle, WA 98133
Phone (206) 296-4990

1200 12th Ave S
Ste 901
Seattle, WA 98144
Phone (206) 548-3058

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

929 N 130th St
Ste 3
Seattle, WA 98133
Phone (206) 525-5556

Interoperability endpoints

  • Direct secure messaging: breis365505@direct.ochin.org
  • Direct secure messaging: breis491576@direct.multicare.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1205471059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 QUEEN ANNE AVE N # 742",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981092383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ELLIOTT AVE W STE 500",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194292",
            "telephone_number": "425-640-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIS",
        "first_name": "BIANCA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "60015020",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61074587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.