Active NPI
Bianca Reis, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP61074587
- 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, 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 60015020 | WA | MD | Psychiatric/Mental Health Registered Nurse |
| AP61074587 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborcare Health | Current | Accepting new patients | |
| Mindful Therapy Group PC | Psychiatric/Mental Health | Current | Accepting new patients |
| Neighborcare Health | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Valley Cities Counseling and Consultation | Current | 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
- breis365505@direct.ochin.org
- 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.
-
dba Mindful Therapy Group
- Clinical Social Worker
- Mountlake Terrace, WA
- NPI 1316238678
Psychiatric/Mental Health
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
dba Sea Mar Community Health Center
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
- Community/Behavioral Health Agency
- Kent, WA
- NPI 1972668853
-
dba Neighborcare Health at Lincoln High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1801826821
-
- Federally Qualified Health Center (FQHC)
- Marysville, WA
- NPI 1578610911
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.