Individual provider Active NPI

Tatiana Sadak, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1235466517
Registry record updated Feb 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP60122579 Issued in WA
Practice address
7110 191St PL SW
Lynnwood, WA 98036-5069
Phone
(206) 459-1158
Fax
(888) 296-8140
NPI assigned
Nov 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP60122579 WA Primary

Addresses

Primary practice location

7110 191St PL SW
Lynnwood, WA 98036-5069

Mailing address

7110 191St PL SW
Lynnwood, WA 98036-5069
Phone (206) 459-1158

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
I20100430000071 WA Practitioner - Nurse Practitioner 7517094170 Reassigns benefits to 1 organization
Practice locations: Lynnwood, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7110 191St PL SW
Lynnwood, WA 98036-5069
Phone (206) 459-1158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60122579WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Fairfax Hospital Inc. CurrentSince Jan 18, 2017 Accepting new patients
Psychiatric Wellness & Dementia Care,LLC PastSince Sep 1, 2012 Accepting new patients

Locations

916 Pacific Ave
Fl 7
Everett, WA 98201
Phone (425) 303-6500

10200 NE 132nd St
Kirkland, WA 98034
Phone (425) 821-2000

Organizations & group practices 2

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": "1257552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769990400000",
    "number": "1235466517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 191ST PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365069",
            "telephone_number": "206-459-1158",
            "fax_number": "888-296-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 191ST PL SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980365069",
            "telephone_number": "206-459-1158",
            "fax_number": "888-296-8140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SADAK",
        "first_name": "TATIANA",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-07",
        "last_updated": "2026-02-02",
        "certification_date": "2026-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP60122579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.