Active NPI
Alice Hui Fay Tin, MD, MPH
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61057242
- Practice address
- 550 16TH Ave Ste 100
Seattle, WA 98122-5636 - Phone
- (206) 320-2484
- Fax
- (206) 320-4568
- NPI assigned
- Mar 25, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61057242 | WA | Primary |
Addresses
Primary practice location
550 16TH Ave Ste 100
Seattle, WA 98122-5636
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
Other practice location 1
9245 Rainier Ave S
Seattle, WA 98118-5569
Phone (206) 722-8444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417452335 | Medicaid | WA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61057242 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981
1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950
550 16th Ave
Ste 100
Seattle, WA 98122
Phone (206) 299-1900
550 16th Ave
Ste 400
Seattle, WA 98122
Phone (206) 320-2233
12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326
Interoperability endpoints
- atin1043436@wm.providencedirect.org
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
- Family Medicine Physician
- Seattle, WA
- NPI 1720033145
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1144629908
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275567539
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1083939003
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1417452335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 16TH AVE STE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981225636",
"telephone_number": "206-320-2484",
"fax_number": "206-320-4568"
}
],
"practiceLocations": [
{
"address_1": "9245 Rainier Ave S",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981185569",
"country_code": "US",
"telephone_number": "206-722-8444",
"fax_number": "206-721-6310",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIN",
"first_name": "ALICE",
"middle_name": "HUI FAY",
"name_prefix": "Dr.",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-25",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61057242",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417452335",
"state": "WA"
}
],
"endpoints": [],
"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 Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.