Active NPI
John E Dunne, MD
- Child & Adolescent Psychiatry Physician
- Tukwila, WA
National Provider Identifier
1619283124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD00014418
- Practice address
- 16040 Christensen Rd Ste 217
Tukwila, WA 98188-2966 - Phone
- (206) 243-7383
- Fax
- (206) 241-7346
- NPI assigned
- Aug 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD00014418 | WA | Primary |
Addresses
Primary practice location
16040 Christensen Rd Ste 217
Tukwila, WA 98188-2966
Mailing address
16040 Christensen Rd Ste 217
Tukwila, WA 98188-2966
Phone (206) 243-7383
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DU2898 | Other | WA | REGENCE |
| 1228600 | Medicaid | WA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00014418 | WA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282262400000",
"number": "1619283124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16040 CHRISTENSEN RD STE 217",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882966",
"telephone_number": "206-243-7383",
"fax_number": "206-241-7346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16040 CHRISTENSEN RD STE 217",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981882966",
"telephone_number": "206-243-7383",
"fax_number": "206-241-7346"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNE",
"first_name": "JOHN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-20",
"last_updated": "2010-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "WA",
"license": "MD00014418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "DU2898",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1228600",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.