Individual provider Active NPI

Julia G Subbotin, CRNA

  • Certified Registered Nurse Anesthetist
  • Seattle, WA
National Provider Identifier
1205487188
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP61005854 Issued in WA
Practice address
1959 NE Pacific St
Seattle, WA 98195-0001
Phone
(206) 520-5000
NPI assigned
Sep 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP61005854 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Seattle, WA 98195-0001

Mailing address

PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220001832 WA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5991139180 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Gastroenterology PLLCGroup PAC ID 6204194848, 142 clinicians

Practice addresses (Care Compare)

3209 S 23Rd St
Suite 200
Tacoma, WA 98405-1602
Phone (253) 272-5127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sight Partners Physicians, P.C. CurrentSince Mar 15, 2023 Accepting new patients
Washington Gastroenterology PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2024 Accepting new patients
Washington Gastroenterology PLLC CurrentSince Jan 1, 2024 Accepting new patients
Sight Partners Physicians, P.C. Current Accepting new patients
Rainier Anesthesia Associates PC CurrentSince Feb 23, 2022 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2023 Accepting new patients
Sight Partners Physicians PC CurrentSince Mar 15, 2023 Accepting new patients
The Aesthetic Surgery Centre, PLLC CurrentSince Jun 1, 2024 Accepting new patients
Sight Partners Physicians, P.C. Past Accepting new patients
Sight Partners Physicians, P.C. Past Accepting new patients
Sight Partners Physicians, P.C. Past Accepting new patients

Locations

16404 Smokey Point Blvd
Ste 303
Arlington, WA 98223
Phone (360) 658-6224

903 Medical Center Dr
Ste 100
Arlington, WA 98223
Phone (360) 435-8595

1135 116th Ave NE
Ste 400
Bellevue, WA 98004
Phone (425) 454-4644

21600 Highway 99
Ste 260
Edmonds, WA 98026
Phone (425) 774-2650

34503 9th Ave S
Ste 240
Federal Way, WA 98003
Phone (253) 838-9839

2727 Hollycroft St
Ste 480
Gig Harbor, WA 98335
Phone (253) 858-0112

2727 Hollycroft St
Ste 380
Gig Harbor, WA 98335
Phone (253) 858-0112

17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

1306 Roosevelt Ave
Mount Vernon, WA 98273
Phone (360) 428-2020

11216 Sunrise Blvd E
Ste 3-201
Puyallup, WA 98374
Phone (253) 770-3700

104 27th Ave SE
Puyallup, WA 98374
Phone (253) 770-4099

1703 S Meridian
Ste 203
Puyallup, WA 98371
Phone (253) 841-3933

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

1703 S Meridian
Ste 305
Puyallup, WA 98371
Phone (253) 841-3933

1412 SW 43rd St
Ste 310
Renton, WA 98057
Phone (425) 235-1200

332 NE Northgate Way
Seattle, WA 98125

501 N 34th St
Ste 101
Seattle, WA 98103
Phone (206) 838-1777

795 N 5th Ave
Sequim, WA 98382
Phone (360) 658-6224

9671 N Nevada St
Ste 210
Spokane, WA 99218
Phone (509) 468-2020

16010 E Indiana Ave
Spokane Valley, WA 99216
Phone (509) 928-8040

2202 S Cedar St
Ste 150
Tacoma, WA 98405
Phone (253) 627-2900

3209 S 23rd St
Ste 200
Tacoma, WA 98405
Phone (253) 503-2508

2202 S Cedar St
Ste 100
Tacoma, WA 98405
Phone (253) 627-2900

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1205487188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095",
            "telephone_number": "206-520-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950001",
            "telephone_number": "206-520-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBBOTIN",
        "first_name": "JULIA",
        "middle_name": "G",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WA",
            "license": "AP61005854",
            "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 Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.