Individual provider Active NPI

Severine Dondina, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1639707516
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61324644 Issued in WA
Practice address
400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Phone
(833) 351-8255
NPI assigned
Mar 27, 2020
Last updated
Dec 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN61324433 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61324644 WA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015622 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F407479 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NP500327881 DC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11015622 FL

Addresses

Primary practice location

400 Union Ave SE Ste 200
Olympia, WA 98501-2060

Mailing address

400 Union Ave SE Ste 200
Olympia, WA 98501-2060
Phone (425) 304-8431

Other practice location 1

4435 E Chandler Blvd Ste 200
Phoenix, AZ 85048-7651
Phone (833) 531-8255

Other practice location 2

1500 K St NW Fl 2
Washington, DC 20005-1209
Phone (833) 351-8255

Other practice location 3

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 531-8255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211029002425 FL Practitioner - Nurse Practitioner 1557759271 Reassigns benefits to 1 organization
I20240319003741 WA Practitioner - Nurse Practitioner 1557759271 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

13555 SE 36TH St
Suite 100
Bellevue, WA 98006-1456
Phone (917) 634-5311

400 Union Ave SE
Olympia, WA 98501-2059
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN61324433WAMDPsychiatric/Mental Health Registered Nurse
APRN11015622AZMDPsychiatric/Mental Health Nurse Practitioner
NP500327881DCMDPsychiatric/Mental Health Nurse Practitioner
F407479NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC Current Accepting new patients
Optum Care Washington PLLC CurrentSince Mar 24, 2024 Accepting new patients
Lummi Indian Business Council CurrentSince Feb 25, 2025 Accepting new patients
MCCD FL Psychiatry Services PA CurrentSince Aug 3, 2025 Accepting new patients
Lummi Indian Business Council CurrentSince Feb 25, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Mar 24, 2024 Accepting new patients
The Polyclinic PLLC CurrentSince Mar 24, 2024 Accepting new patients
Mental Health Resource Center Inc CurrentSince Jul 20, 2021 Accepting new patients
Mental Health Resource Center Inc PastSince Feb 1, 2022 Accepting new patients
Mental Health Center of Jacksonville, Inc. PastSince Jul 20, 2021 Accepting new patients

Locations

4435 E Chandler Blvd
Ste 200
Phoenix, AZ 85048
Phone (480) 930-2322

1500 K St NW
Fl 2
Washington, DC 20005
Phone (212) 287-4257

11820 Beach Blvd
Jacksonville, FL 32246
Phone (904) 642-9100

3333 W 20th St
Jacksonville, FL 32254
Phone (904) 384-2364

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

13555 SE 36th St
Ste 100
Bellevue, WA 98006

2592 Kwina Rd
Bellingham, WA 98226
Phone (360) 312-2000

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1728 W Marine View Dr
Everett, WA 98201
Phone (206) 612-3815

400 Union Ave SE
Olympia, WA 98501

400 Union Ave SE
Ste 200
Olympia, WA 98501
Phone (202) 375-4508

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • Direct secure messaging: ms_sdondina@landmarkhealth-direct.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1639707516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 UNION AVE SE STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012060",
            "telephone_number": "425-304-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 UNION AVE SE STE 200",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012060",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4435 E Chandler Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850487651",
            "country_code": "US",
            "telephone_number": "833-531-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 K St NW Fl 2",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200051209",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-531-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONDINA",
        "first_name": "SEVERINE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN61324433",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61324644",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "APRN11015622",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F407479",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DC",
            "license": "NP500327881",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11015622",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.