Heidi S. Rendall, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD00019337 Issued in WA

Practice address

8227 44TH Ave W.
Ste E
Mukilteo, WA 98275

Phone

(425) 347-1666

Fax

(425) 355-5551

NPI assigned

Dec 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 9, 2014 through Apr 9, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Anchor Medical Clinic

  • Family Medicine Physician
  • Mukilteo, WA
  • NPI 1922037092
  NPD (past) Authorized official

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270512000000",
    "number": "1497900609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 959",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "98275",
            "telephone_number": "425-347-1666",
            "fax_number": "425-355-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8227 44TH AVE W.",
            "address_2": "STE E",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "98275",
            "telephone_number": "425-347-1666",
            "fax_number": "425-355-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDALL",
        "first_name": "HEIDI",
        "middle_name": "S.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2010-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00019337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Ramirez, MSW, LICSW
• Stacia Kay Rapp
• Poonam Rauniyar, MD
• Saleemeh Razaghzadeh
• Rediclinic of Wa, LLC
• Nicolene Kniskern Rhynard
• Rite Aid
• Ritual Massage and Bodywork
• Aaron G. Robins, M. DIV.
• Jami Roemish, RN

• Family Medicine Physician in Mukilteo, WA
• Providers in Mukilteo, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2010; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.