Individual provider Active NPI

Andrew G. Giannotti, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Tumwater, WA
National Provider Identifier
1275509168
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X
License
MD61508969 Issued in WA
Practice address
9474 Lathrop Industrial Dr SW
Tumwater, WA 98512-1109
Phone
(360) 583-3340
NPI assigned
Feb 28, 2006
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Preventive Medicine) Physician 2083A0300X MD61508969 WA Primary

Addresses

Primary practice location

9474 Lathrop Industrial Dr SW
Tumwater, WA 98512-1109

Mailing address

9474 Lathrop Industrial Dr SW
Tumwater, WA 98512-1109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000693 TX Practitioner - Addiction MedicinePractitioner - Anesthesiology 3678610904 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kalispel Tribe of Indians CurrentSince Feb 1, 2026 Accepting new patients
Hope and Healing Clinic LLC CurrentSince Jun 3, 2025 Accepting new patients
Hope and Healing Clinic LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

1887 Whitney Mesa Dr
Henderson, NV 89014
Phone (702) 819-0368

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1275509168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9474 LATHROP INDUSTRIAL DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9474 LATHROP INDUSTRIAL DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121109",
            "telephone_number": "360-583-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIANNOTTI",
        "first_name": "ANDREW",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD61508969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tumwater, WA

Sources for this page

Verify at the official NPI Registry.