Active NPI
Marie Virginia Cassidy-Brinn, ARNP
- Women's Health Nurse Practitioner
- Renton, WA
National Provider Identifier
1477520450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- AP0002261
- Practice address
- 4300 Talbot Rd S
Renton, WA 98055-6238 - Phone
- (425) 255-0471
- NPI assigned
- Mar 8, 2006
- 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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | AP0002261 | WA | Primary |
Addresses
Primary practice location
4300 Talbot Rd S
Renton, WA 98055-6238
Mailing address
4300 Talbot Rd S
Renton, WA 98055-6238
Phone (425) 255-0471
Other names 1
- Ginny Cassidy-Brinn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP0002261 | WA | MD | Women's Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189123200000",
"number": "1477520450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980556238",
"telephone_number": "425-255-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 TALBOT RD S",
"city": "RENTON",
"state": "WA",
"postal_code": "980556238",
"telephone_number": "425-255-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASSIDY-BRINN",
"first_name": "MARIE",
"middle_name": "VIRGINIA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-08",
"last_updated": "2007-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "WA",
"license": "AP0002261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINNY",
"last_name": "CASSIDY-BRINN",
"credential": "ARNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.