Active NPI
Katie Vu, DO
- Family Medicine Physician
- Bothell, WA
National Provider Identifier
1679276018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO.OP.70075876
- Practice address
- 9924 NE 185TH St
Bothell, WA 98011-3502 - Phone
- (425) 595-3830
- NPI assigned
- Mar 24, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO.OP.70075876 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | V6421 | TX |
Addresses
Primary practice location
9924 NE 185TH St
Bothell, WA 98011-3502
Mailing address
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004
Other practice location 1
605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230502001132 | TX | Order and Referring Only - Family Practice | 8426413170 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| V6421 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Past | Accepting new patients | |
| Optum Care Washington PLLC | Past | Accepting new patients |
Interoperability endpoints
- katie.vu.2@31617.direct.athenahealth.com
- katievu@lsfhc.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
-
- Durable Medical Equipment & Medical Supplies
- Bothell, WA
- NPI 1770006330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1679276018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 S CONROE MEDICAL DR",
"city": "CONROE",
"state": "TX",
"postal_code": "773044722",
"telephone_number": "936-539-4004",
"fax_number": "936-539-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9924 NE 185TH ST",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113502",
"telephone_number": "425-595-3830"
}
],
"practiceLocations": [
{
"address_1": "605 S Conroe Medical Dr",
"address_purpose": "LOCATION",
"city": "Conroe",
"state": "TX",
"postal_code": "773044722",
"country_code": "US",
"telephone_number": "936-539-4004",
"fax_number": "936-521-3964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VU",
"first_name": "KATIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-24",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "DO.OP.70075876",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "V6421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.