Individual provider Active NPI

Patrece Anika Debique

  • Psychiatric/Mental Health Nurse Practitioner
  • Federal Way, WA
National Provider Identifier
1225835242
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP700412179 Issued in WA
Practice address
1010 S 336TH St Ste 205
Federal Way, WA 98003-7354
Phone
(360) 488-8211
Fax
(866) 230-4506
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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 Nurse Practitioner 363LP0808X AP700412179 WA Primary
Critical Care Medicine Registered Nurse 163WC0200X 605519719 WA

Addresses

Primary practice location

1010 S 336TH St Ste 205
Federal Way, WA 98003-7354

Mailing address

15605 157TH Ave SE # NA
Renton, WA 98058-6343
Phone (786) 339-3959

Other practice location 1

925 Seneca St # A
Seattle, WA 98101-2742
Phone (206) 624-1144

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
I20251211003052 WA Practitioner - Nurse Practitioner 1254825763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15605 157TH Ave SE
Renton, WA 98058-6343

3435 Martin Way E
Olympia, WA 98506-5071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
605519719WAMDCritical Care Medicine Registered Nurse
AP700412179WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Solutions and Integrative Medicine LLC Psychiatric/Mental Health CurrentSince Jan 17, 2026 Accepting new patients
Three Points Healing Inc. CurrentSince Nov 1, 2025 Accepting new patients
Debique Healing Collective Psychiatric/Mental Health CurrentSince Mar 11, 2025 Accepting new patients

Locations

1010 S 336th St
Ste 205
Federal Way, WA 98003
Phone (360) 488-0374

3435 Martin Way E
Ste C
Olympia, WA 98506
Phone (360) 488-8211

3435 Martin Way E
Ste D
Olympia, WA 98506
Phone (360) 488-8211

Organizations & group practices 3

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": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1225835242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15605 157TH AVE SE # NA",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980586343",
            "telephone_number": "786-339-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 336TH ST STE 205",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980037354",
            "telephone_number": "360-488-8211",
            "fax_number": "866-230-4506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "925 Seneca St # A",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981012742",
            "country_code": "US",
            "telephone_number": "206-624-1144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBIQUE",
        "first_name": "PATRECE",
        "middle_name": "ANIKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP700412179",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "WA",
            "license": "605519719",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.