Individual provider Active NPI

Alison Jean Reinbold, M.D.

  • Diagnostic Radiology Physician
  • Puyallup, WA
National Provider Identifier
1205890571
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD00029361 Issued in WA
Practice address
222 15TH Ave SE
Puyallup, WA 98372-3754
Phone
(253) 841-4353
Fax
(253) 581-5698
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD184092 OR
Diagnostic Radiology Physician 2085R0202X MD00029361 WA Primary

Addresses

Primary practice location

222 15TH Ave SE
Puyallup, WA 98372-3754

Mailing address

PO Box 1535
Tacoma, WA 98401-1535
Phone (253) 761-4200

Other identifiers 7

IdentifierTypeStateIssuer
0363914OtherWALNI-TRA MEDICA IMAGING-KING
1004847MedicaidWA
0363917OtherWALNI-CAROL MILGARD BREAST CENTER
500739380MedicaidOR
0363916OtherWALNI-UNION AVENUE OPEN MRI
0363909OtherWALNI-TRA MEDICAL IMAGING-PIERCE
0241055OtherWALNI-DIAGNOSTIC IMAGING NW

Other names 1

  • Alison Jean Reinbold-Carter Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD184092ORMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Vascular Incorporated Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1205890571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984011535",
            "telephone_number": "253-761-4200",
            "fax_number": "253-383-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 15TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723754",
            "telephone_number": "253-841-4353",
            "fax_number": "253-581-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REINBOLD",
        "first_name": "ALISON",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OR",
            "license": "MD184092",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00029361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-TRA MEDICA IMAGING-KING",
            "identifier": "0363914",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1004847",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-CAROL MILGARD BREAST CENTER",
            "identifier": "0363917",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500739380",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-UNION AVENUE OPEN MRI",
            "identifier": "0363916",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-TRA MEDICAL IMAGING-PIERCE",
            "identifier": "0363909",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LNI-DIAGNOSTIC IMAGING NW",
            "identifier": "0241055",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "REINBOLD-CARTER",
            "middle_name": "JEAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.