Organization Active NPI

Healthpoint

Doing business as HealthPoint SeaTac Medical

  • Federally Qualified Health Center (FQHC)
  • Seatac, WA
National Provider Identifier
1659496248
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
6060 Issued in WA
Legal business name
HEALTHPOINT
Doing business as
HealthPoint
HealthPoint SeaTac Medical
Practice address
4040 188TH Street
Suite #201
Seatac, WA 98188
Phone
(425) 277-1311
NPI assigned
Mar 20, 2007
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Brittany Aydelott
Title
Enrollment Specialist
Phone
(425) 424-6329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 6060 WA Primary

Addresses

Primary practice location

4040 188TH Street
Suite #201
Seatac, WA 98188

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other identifiers 2

IdentifierTypeStateIssuer
6060OtherWABUSINESS LICENSE
7138100MedicaidWA

Other names 2

  • HealthPoint Doing business as
  • HealthPoint SeaTac Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040206000245 WA Part B Supplier - Clinic/Group Practice 9335042886 Receives reassigned benefits from 405 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Renton, WA; Seatac, WA; Seattle, WA; Tukwila, WA; Bothell, WA; Auburn, WA; Redmond, WA; Burien, WA…
O20070830000837 WA Part A Provider - Federally Qualified Health Center (FQHC) 9335042886 Practice locations: Seatac, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659496248. Details of each certification follow.

Federally qualified health center certification: CCN 501910

Legal name
HEALTHPOINT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Nov 14, 2007
Last certification
Nov 14, 2007
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Aug 20, 1971 in WA
Enrollment address
4040 S 188TH St
Ste 201
Seatac, WA 98188-5070

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory
Tax ID family
Community Health Centers of King County41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Locations

325 W Gowe St
Kent, WA 98032

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Delia Martin Individual Corporate DirectorBoard Member Dec 1, 2025
Laura Ward Individual Corporate Director Jan 1, 2021
Carlos Michel Individual Corporate Director Jun 1, 2023
Vicki Hammond Individual Corporate OfficerCfo Nov 29, 2010
W-2 Managing Employee Jun 24, 2013
Edward Lee Individual Corporate Director Jan 1, 2019
Megan Wildenradt Individual Corporate Director Oct 1, 2010
Alfredo Mogollan-Aranda Individual Corporate Director Jan 1, 2022
Grace Ssebugwawo Individual Corporate Director Dec 1, 2020
Juan Ganz Individual Corporate Director Oct 1, 2019
Chad Horner Individual Corporate Director Nov 1, 2005
Lisa Yohalem Individual Corporate OfficerCeo Feb 1, 2020
Sheryl Pot Individual Corporate Director Feb 1, 2004

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1659496248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 188TH STREET",
            "address_2": "SUITE #201",
            "city": "SEATAC",
            "state": "WA",
            "postal_code": "98188",
            "telephone_number": "425-277-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "AYDELOTT",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "425-424-6329"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": "6060",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "6060",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7138100",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPoint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthPoint SeaTac Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Seatac, WA

Sources for this page

Verify at the official NPI Registry.