Organization Active NPI

Linnell Dermatology and Aesthetics PLLC

  • Dermatology Physician
  • Seattle, WA
National Provider Identifier
1306448949
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
LINNELL DERMATOLOGY AND AESTHETICS PLLC
Practice address
515 Minor Ave Ste 240
Seattle, WA 98104-2133
Phone
(206) 539-0675
NPI assigned
Nov 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Erica LinnellNPI 1700037769
Title
Owner
Phone
(206) 539-0675

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

515 Minor Ave Ste 240
Seattle, WA 98104-2133

Mailing address

515 Minor Ave Ste 240
Seattle, WA 98104-2133
Phone (206) 539-0675

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ezderm

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210811001808 WA Part B Supplier - Clinic/Group Practice 6406261544 Receives reassigned benefits from 3 practitioners
Practice locations: Seattle, WA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
50D2210279Linnell Dermatology and Aesthetics515 Minor Ave Ste 240, Seattle, WA 98104Provider-performed microscopyApr 4, 2028

National Provider Directory

National Provider Directory

Locations

515 Minor Ave
Ste 240
Seattle, WA 98104
Phone (206) 386-9668

515 Minor Ave
Seattle, WA 98104
Phone (206) 386-9595

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1306448949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042133",
            "telephone_number": "206-539-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MINOR AVE STE 240",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042133",
            "telephone_number": "206-539-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINNELL DERMATOLOGY AND AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "LINNELL",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-539-0675"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ezderm",
            "affiliation": "N",
            "address_1": "515 Minor Ave Ste 240",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981042133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.