Active NPI
Rachel Noelle Brown
- Family Medicine Physician
- Puyallup, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- AP61551367
- Practice address
- 615 E Pioneer Ste 103
Puyallup, WA 98372-3317 - Phone
- (727) 457-8286
- NPI assigned
- Jun 3, 2024
- Last updated
- Dec 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61551367 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Healthcare of Washington, Inc | Family Medicine | Current | Accepting new patients |
| Molina Healthcare of Washington, Inc | Family Medicine | Current | Accepting new patients |
| Everside Health, LLC | Family Medicine | Past | 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
- 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.
-
- Family Medicine Physician
- Bothell, WA
- NPI 1659897163
-
- Family Medicine Physician
- Everett, WA
- NPI 1912235060
-
dba Marathon Health, Puyallup WA
- Clinic/Center
- Puyallup, WA
- NPI 1225584683
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.