Individual provider Active NPI

Debra Callahan, MD

  • Clinical Pathology/Laboratory Medicine Physician
  • Bellingham, WA
National Provider Identifier
1386668341
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X
License
25155 Issued in SC
Practice address
3614 Meridian St Ste 100
Bellingham, WA 98225-1748
Phone
(360) 734-2800
Fax
(360) 734-3818
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X S-04-006 MI
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X 25155 SC Primary

Addresses

Primary practice location

3614 Meridian St Ste 100
Bellingham, WA 98225-1748

Mailing address

3560 Meridian St Ste 101
Bellingham, WA 98225-1731
Phone (360) 734-2800

Other practice location 1

1117 Spring St
Friday Harbor, WA 98250-9782
Phone (360) 378-2141

Other practice location 2

2901 Squalicum Pkwy Ste 100
Bellingham, WA 98225-1851
Phone (360) 734-5400

Other practice location 3

101 N Main St
Coupeville, WA 98239-3413
Phone (360) 678-5151

Other practice location 4

3100 Tongass Ave
Ketchikan, AK 99901-5746
Phone (907) 225-5171

Other identifiers 3

IdentifierTypeStateIssuer
122402OtherAKMEDICAL LICENSE
T83120MedicaidSC
MD60357962OtherWAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, AK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130911000091 WA Practitioner - Pathology 0244126530 Reassigns benefits to 1 organization
I20240516003374 AK Practitioner - Pathology 0244126530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Ohio State University College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cellnetix Pathology PLLCGroup PAC ID 8224062971, 58 clinicians

Practice addresses (Care Compare)

747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
44141TNMDPharmacist
S-04-006MIMDBlood Banking & Transfusion Medicine Physician
25155SCMDClinical Pathology/Laboratory Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cellnetix Pathology, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Cellnetix Pathology, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Cellnetix Pathology, PLLC CurrentSince Apr 1, 2024 Accepting new patients

Locations

2490 S Woodworth Loop
Ste 410
Palmer, AK 99645
Phone (807) 745-8100

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1001 SW Klickitat Way
Ste 205
Seattle, WA 98134
Phone (206) 622-7747

1780 NW Myhre Rd
Ste 1240
Silverdale, WA 98383
Phone (360) 337-8915

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

12501 E Marginal Way S
Ste 200
Tukwila, WA 98168
Phone (206) 576-6050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1386668341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3560 MERIDIAN ST STE 101",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251731",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 MERIDIAN ST STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251748",
            "telephone_number": "360-734-2800",
            "fax_number": "360-734-3818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1117 Spring St",
            "address_purpose": "LOCATION",
            "city": "Friday Harbor",
            "state": "WA",
            "postal_code": "982509782",
            "country_code": "US",
            "telephone_number": "360-378-2141",
            "fax_number": "360-378-1782",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 Squalicum Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251851",
            "country_code": "US",
            "telephone_number": "360-734-5400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Main St",
            "address_purpose": "LOCATION",
            "city": "Coupeville",
            "state": "WA",
            "postal_code": "982393413",
            "country_code": "US",
            "telephone_number": "360-678-5151",
            "fax_number": "360-678-7617",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-225-5171",
            "fax_number": "907-228-8325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "DEBRA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "MI",
            "license": "S-04-006",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "SC",
            "license": "25155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "122402",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T83120",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD60357962",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.