Individual provider Active NPI

Barbara S Mendrey, M.D.

  • Family Medicine Physician
  • Bothell, WA
National Provider Identifier
1588698179
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00033694 Issued in WA
Practice address
12900 NE 180TH St
Bothell, WA 98011-5773
Phone
(425) 424-2100
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X MD00033694 WA
Family Medicine Physician 207Q00000X MD00033694 WA Primary

Addresses

Primary practice location

12900 NE 180TH St
Bothell, WA 98011-5773

Mailing address

12900 NE 180TH St
Bothell, WA 98011-5773

Other identifiers 1

IdentifierTypeStateIssuer
7110687MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address barbara.mendrey.1@3875.direct.athenahealth.com Northshore Family Practice Pllc

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
I20110524000880 WA Practitioner - Family PracticePractitioner - Addiction Medicine 6406746106 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Family Practice PLLC Family Medicine CurrentSince Mar 1, 2002 Accepting new patients
King County Public Hospital District No 2 Family Medicine CurrentSince Apr 1, 2020 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Apr 1, 2020 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Northshore Health PLLC PastSince Sep 15, 2024 Accepting new patients

Locations

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

12900 NE 180th St
Bothell, WA 98011
Phone (425) 424-2100

6443 NE 181st St
Kenmore, WA 98028
Phone (425) 419-6199

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

14841 179th Ave SE
Ste 210
Monroe, WA 98272
Phone (360) 217-1155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3875/brand/1/csg/1/fhir/r4
  • Direct secure messaging: barbara.mendrey.1@3875.direct.athenahealth.com

Organizations & group practices 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1588698179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773",
            "telephone_number": "425-424-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDREY",
        "first_name": "BARBARA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00033694",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00033694",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7110687",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "barbara.mendrey.1@3875.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "Northshore Family Practice Pllc",
            "address_1": "12900 NE 180th St",
            "city": "Bothell",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980115773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.