Individual provider Active NPI

Rachel Noelle Brown

  • Family Medicine Physician
  • Puyallup, WA
National Provider Identifier
1285475681
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
AP61551367 Issued in WA
Practice address
615 E Pioneer Ste 103
Puyallup, WA 98372-3317
Phone
(727) 457-8286
NPI assigned
Jun 3, 2024
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X AP61551367 WA Primary

Addresses

Primary practice location

615 E Pioneer Ste 103
Puyallup, WA 98372-3317

Mailing address

303 365TH St. S.
Roy, WA 98580
Phone (360) 870-4652

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61551367WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of Washington, Inc Family Medicine CurrentSince Jun 17, 2024 Accepting new patients
Molina Healthcare of Washington, Inc Family Medicine Current Accepting new patients
Everside Health, LLC Family Medicine PastSince Dec 8, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

21540 30th Dr SE
Ste 400
Bothell, WA 98021
Phone (419) 635-8675

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

Interoperability endpoints

  • Direct secure messaging: rachel.brown.1@14940.direct.athenahealth.com

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": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1285475681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 365TH ST. S.",
            "city": "ROY",
            "state": "WA",
            "postal_code": "98580",
            "telephone_number": "360-870-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PIONEER STE 103",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723317",
            "telephone_number": "727-457-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "RACHEL",
        "middle_name": "NOELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "AP61551367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.