Individual provider Active NPI

Duy Trinh, NP

  • Family Nurse Practitioner
  • Bonney Lake, WA
National Provider Identifier
1396299616
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53864 Issued in ID
Practice address
21525 Sr 410 E Ste a
Bonney Lake, WA 98391-4101
Phone
(253) 499-6999
Fax
(888) 440-5188
NPI assigned
Aug 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53864 ID Primary

Addresses

Primary practice location

21525 Sr 410 E Ste a
Bonney Lake, WA 98391-4101

Mailing address

1100 NW 12TH St
Fruitland, ID 83619-5040
Phone (408) 888-0524

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
I20220530000184 WA Practitioner - Nurse Practitioner 8123395498 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dispatchhealth Washington PCGroup PAC ID 2062765423, 44 clinicians

Practice addresses (Care Compare)

6912 220TH St SW
Suite 113
Mountlake Terrace, WA 98043-2174
Phone (425) 553-0937

Merit-based Incentive Payment System (MIPS)

Final score
50.5 of 100Reported as group
Quality
44.61
Promoting interoperability
0
Improvement activities
40
Cost
50.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53864IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Phandinh Clinic LLC CurrentSince Apr 1, 2024 Accepting new patients
Principal Health Clinic LLC CurrentSince Mar 24, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jan 12, 2026 Accepting new patients
Alliance for South Sound Health CurrentSince May 3, 2022 Accepting new patients
Dispatchhealth Washington PC CurrentSince Aug 1, 2022 Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

21525 Sr 410 E
Ste A
Bonney Lake, WA 98391
Phone (206) 513-3580

6912 220th St SW
Ste 113
Mountlake Terrace, WA 98043
Phone (425) 361-7670

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

330 SW 43rd St
Ste L
Renton, WA 98057
Phone (253) 981-4450

1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720

920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720

Interoperability endpoints

  • Direct secure messaging: duy.trinh.1@13869.direct.athenahealth.com

Organizations & group practices 6

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": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1396299616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NW 12TH ST",
            "city": "FRUITLAND",
            "state": "ID",
            "postal_code": "836195040",
            "telephone_number": "408-888-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21525 SR 410 E STE A",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983914101",
            "telephone_number": "253-499-6999",
            "fax_number": "888-440-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRINH",
        "first_name": "DUY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-04",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "53864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonney Lake, WA

Sources for this page

Verify at the official NPI Registry.