Erica Aragon Bottai, PA-C

Key facts

NPI

1639458441

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

Practice address

19379 7TH Ave NE
Poulsbo, WA 98370-7504

Phone

(360) 394-1000

NPI assigned

Aug 10, 2011

Sex

Female

Sole proprietor

No

Organizations & group practices 8

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.

• Kaiser Foundation Health Plan of Washington Multi-Specialty Clinic/Center · Seattle, WA · NPI 1396810701
  Medicare reassignment Care Compare group WA
• Kaiser Foundation Health Plan of Washington Clinical Medical Laboratory · Renton, WA · NPI 1285805119
  Care Compare group
• Kaiser Foundation Health Plan of Washington Community Based Hospice Care Agency · Seattle, WA · NPI 1437289576
  Care Compare group
• Kaiser Foundation Health Plan of Washington Home Health Agency · Seattle, WA · NPI 1528198660
  Care Compare group
• Kaiser Foundation Health Plan of Washington General Acute Care Hospital · Seattle, WA · NPI 1861522088
  Care Compare group
• Kaiser Foundation Health Plan of Washington Ambulatory Surgical Clinic/Center · Bellevue, WA · NPI 1972774180
  Care Compare group
• Kaiser Foundation Health Plan of Washington Multi-Specialty Clinic/Center · Renton, WA · NPI 1124264577
  NPD
• Kaiser Foundation Health Plan of Washington Multi-Specialty Clinic/Center · Everett, WA · NPI 1386935351
  NPD

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Kaiser Foundation Health Plan of Washington (1,519 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ebottai172591@ghc.direct-ci.net

Specialties & licenses

Addresses

Other identifiers

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 18, 2021.

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621296000000",
    "number": "1639458441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19379 7TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707504",
            "telephone_number": "360-394-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19379 7TH AVE NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983707504",
            "telephone_number": "360-394-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTAI",
        "first_name": "ERICA",
        "middle_name": "ARAGON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639458441",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "19379 7th Ave NE",
            "city": "Poulsbo",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983707504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poulsbo, WA

• Kristin Switz Bloink, PA-C, MPH
• Nina Bockholdt
• Kyle M Bogusz, DO
• David Ryan Bolthouse, M.D.
• Vilma Boon, LMHC
• Boudreaux Optics, P.L.L.C
• Paul Boudreaux, O.D.
• John Frank Boulukos, DPT
• Ginger Bouma, MD
• Boundless Pharmaceuticals LLC

All providers in Poulsbo, WA · Physician Assistant in Washington