Individual provider Active NPI

Erica K Linnell, MD

  • Dermatology Physician
  • Renton, WA
National Provider Identifier
1700037769
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD60279708 Issued in WA
Practice address
350 S 38TH CT
Suite 115
Renton, WA 98055-5777
Phone
(425) 970-4155
NPI assigned
Oct 8, 2008
Last updated
Mar 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TL2965 CO
Dermatology Physician 207N00000X MD60279708 WA Primary

Addresses

Primary practice location

350 S 38TH CT
Suite 115
Renton, WA 98055-5777

Mailing address

350 S 38TH CT
Suite 115
Renton, WA 98055-5777
Phone (425) 970-4155

Other identifiers 1

IdentifierTypeStateIssuer
2021804MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120829000025 WA Practitioner - Dermatology 0648427542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Colorado School of Medicine, Denver, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Linnell Dermatology and Aesthetics PLLCGroup PAC ID 6406261544, 3 clinicians

Practice addresses (Care Compare)

515 Minor Ave
Suite 240
Seattle, WA 98104-2133
Phone (206) 539-0675

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions89
Skin biopsy47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD60279708WAMDDermatology Physician
TL2965COMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Linnell Dermatology and Aesthetics PLLC Dermatology CurrentSince Jun 18, 2021 Accepting new patients
Silver Falls Dermatology, LLC Dermatology PastSince Apr 1, 2021 Accepting new patients

Locations

515 Minor Ave
Ste 240
Seattle, WA 98104
Phone (206) 386-9668

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, 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": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394755200000",
    "number": "1700037769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S 38TH CT",
            "address_2": "SUITE 115",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555777",
            "telephone_number": "425-970-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S 38TH CT",
            "address_2": "SUITE 115",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980555777",
            "telephone_number": "425-970-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINNELL",
        "first_name": "ERICA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2014-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CO",
            "license": "TL2965",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60279708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021804",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.