Individual provider Active NPI

Deanna Lynn Cristel, LMFT

  • Marriage & Family Therapist
  • Federal Way, WA
National Provider Identifier
1205928884
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF00002656 Issued in WA
Practice address
33507 9TH Ave S
Building C Suite 2
Federal Way, WA 98003-6397
Phone
(253) 320-0415
Fax
(253) 661-8480
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LF00002656 WA Primary

Addresses

Primary practice location

33507 9TH Ave S
Building C Suite 2
Federal Way, WA 98003-6397

Mailing address

33507 9TH Ave S
Building C Suite 2
Federal Way, WA 98003-6397
Phone (253) 320-0415

Other names 1

  • Deanna Lynn Bretz Former 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LF00002656WAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1205928884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33507 9TH AVE S",
            "address_2": "BUILDING C SUITE 2",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036397",
            "telephone_number": "253-320-0415",
            "fax_number": "253-661-8480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33507 9TH AVE S",
            "address_2": "BUILDING C SUITE 2",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036397",
            "telephone_number": "253-320-0415",
            "fax_number": "253-661-8480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISTEL",
        "first_name": "DEANNA",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "BRETZ",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Federal Way, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.