Active NPI
Gwenyth K McConnell, M.D.
- Psychiatry Physician
- Seattle, WA
National Provider Identifier
1700959673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00031244
- Practice address
- 2271 NE 51St St
Seattle, WA 98105-5713 - Phone
- (206) 523-8655
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00031244 | WA | Primary |
Addresses
Primary practice location
2271 NE 51St St
Seattle, WA 98105-5713
Mailing address
2271 NE 51St St
Seattle, WA 98105-5713
Phone (206) 523-8655
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 271811639 | Other | WA | TAX ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703980800000",
"number": "1700959673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2271 NE 51ST ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981055713",
"telephone_number": "206-523-8655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2271 NE 51ST ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981055713",
"telephone_number": "206-523-8655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONNELL",
"first_name": "GWENYTH",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2023-12-31",
"certification_date": "2023-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00031244",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "271811639",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.