Individual provider Active NPI

Gina Yvette Donlucas, MEDICAL PEER SUPPORT

  • Peer Specialist
  • Seattle, WA
National Provider Identifier
1639059124
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-ZBPTOS Issued in CA
Practice address
4739 University Way NE # 2032
Seattle, WA 98105-4412
Phone
(888) 425-4605
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-ZBPTOS CA Primary

Addresses

Primary practice location

4739 University Way NE # 2032
Seattle, WA 98105-4412

Mailing address

4739 University Way NE # 2032
Seattle, WA 98105-4412
Phone (888) 425-4605

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

LicenseStateTypeSpecialty
MPSS-ZBPTOSCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1639059124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4739 UNIVERSITY WAY NE # 2032",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054412",
            "telephone_number": "888-425-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4739 UNIVERSITY WAY NE # 2032",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981054412",
            "telephone_number": "888-425-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLUCAS",
        "first_name": "GINA",
        "middle_name": "YVETTE",
        "credential": "MEDICAL PEER SUPPORT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-ZBPTOS",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.