Individual provider Active NPI

Julia Hannan McDonnell, M.D.

  • Pediatrics Physician
  • Seattle, WA
National Provider Identifier
1386739621
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00035707 Issued in WA
Practice address
4800 Sand Point Way NE
M/S CB
Seattle, WA 98105-3901
Phone
(425) 454-4644
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00035707 WA Primary

Addresses

Primary practice location

4800 Sand Point Way NE
M/S CB
Seattle, WA 98105-3901

Mailing address

2007 W Mukilteo Blvd
Everett, WA 98203-1521
Phone (425) 710-4085

Other practice location 1

12800 Bothell Everett Hwy Ste 150
Everett, WA 98208-6644
Phone (425) 357-5420

Other identifiers 1

IdentifierTypeStateIssuer
8247538MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmcdonnell135839@wm.providencedirect.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100316000207 WA Practitioner - Pediatric Medicine 9537294699 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services-Wa CurrentSince Feb 2, 2010 Accepting new patients
Seattle Children'S Hospital Current Accepting new patients
Seattle Childrens Hospital CurrentSince Apr 1, 2014 Accepting new patients
Children'S Hospital & Regional Medical Center 2 Past Accepting new patients

Locations

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

900 Pacific Ave
Fl 1
Everett, WA 98201
Phone (425) 258-7311

900 Pacific Ave
Fl 5
Everett, WA 98201
Phone (425) 258-7311

12800 Bothell Everett Hwy
Ste 150
Everett, WA 98208
Phone (425) 327-5420

34503 9th Ave S
Ste 300
Federal Way, WA 98003
Phone (253) 838-5878

8232 W Grandridge Blvd
Kennewick, WA 99336
Phone (509) 582-1700

4800 Sand Point Way NE
Seattle, WA 98105
Phone (206) 526-2000

1780 NW Myhre Rd
Ste 2120
Silverdale, WA 98383
Phone (360) 782-3100

Organizations & group practices 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1386739621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 W MUKILTEO BLVD",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031521",
            "telephone_number": "425-710-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 SAND POINT WAY NE",
            "address_2": "M/S CB",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981053901",
            "telephone_number": "425-454-4644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12800 Bothell Everett Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982086644",
            "country_code": "US",
            "telephone_number": "425-357-5420",
            "fax_number": "425-357-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCDONNELL",
        "first_name": "JULIA",
        "middle_name": "HANNAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00035707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8247538",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmcdonnell135839@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12800 Bothell Everett Hwy Ste 150",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982086644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.