Individual provider Active NPI

Cortney Danielle Webb, PA-C

  • Medical Physician Assistant
  • Tukwila, WA
National Provider Identifier
1336874718
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
200 Andover Park E Ste 8
Tukwila, WA 98188-2938
Phone
(206) 575-3136
NPI assigned
Jul 20, 2022
Last updated
Jul 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

200 Andover Park E Ste 8
Tukwila, WA 98188-2938

Mailing address

101 Taylor Ave N Apt 107
Seattle, WA 98109-5150
Phone (318) 617-6698

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
I20220901002972 WA Practitioner - Physician Assistant 7517341944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Washington, P.S. CurrentSince Aug 2, 2022 Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060

3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299

9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545

200 Andover Park E
Ste 8
Tukwila, WA 98188
Phone (206) 575-3136

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, 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": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1336874718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 TAYLOR AVE N APT 107",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981095150",
            "telephone_number": "318-617-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ANDOVER PARK E STE 8",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882938",
            "telephone_number": "206-575-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "CORTNEY",
        "middle_name": "DANIELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tukwila, WA

Sources for this page

Verify at the official NPI Registry.