Individual provider Active NPI

Connie Huyen Dao, PA-C

  • Physician Assistant
  • Everett, WA
National Provider Identifier
1770073975
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA1032333 Issued in WA
Practice address
1717 13TH St
Everett, WA 98201-1621
Phone
(425) 297-5560
Fax
(425) 297-5561
NPI assigned
May 14, 2018
Last updated
Jun 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-08072 NC
Physician Assistant 363A00000X PA1032333 WA Primary

Addresses

Primary practice location

1717 13TH St
Everett, WA 98201-1621

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 297-5560

Other practice location 1

210 Ashville Ave
Cary, NC 27518-6600
Phone (919) 350-2873

Other practice location 2

808 Schenck St
Shelby, NC 28150-3934
Phone (704) 480-9344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, 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
I20180710002964 NC Practitioner - Physician Assistant 7012263742 Reassigns benefits to 1 organization
I20200417001907 WA Practitioner - Physician Assistant 7012263742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Wakemed Specialists Group LLCGroup PAC ID 2466788377, 868 clinicians

Practice addresses (Care Compare)

1330 Rockefeller Ave
Everett, WA 98201-1684
Phone (425) 259-0966

210 Ashville Ave
Cary, NC 27518-6600
Phone (919) 350-2800

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7270

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-08072NCMDPhysician Assistant
PA1032333WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed Specialists Group LLC CurrentSince Oct 6, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 27, 2020 Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 27, 2020 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Oct 6, 2025 Accepting new patients

Locations

210 Ashville Ave
Cary, NC 27518
Phone (919) 235-6460

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

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

1717 13th St
Everett, WA 98201
Phone (425) 297-5500

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

Organizations & group practices 6

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1770073975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-297-5560",
            "fax_number": "425-297-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 13TH ST",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011621",
            "telephone_number": "425-297-5560",
            "fax_number": "425-297-5561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Ashville Ave",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275186600",
            "country_code": "US",
            "telephone_number": "919-350-2873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "808 Schenck St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "NC",
            "postal_code": "281503934",
            "country_code": "US",
            "telephone_number": "704-480-9344",
            "fax_number": "704-484-3260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAO",
        "first_name": "CONNIE",
        "middle_name": "HUYEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08072",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA1032333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.