Individual provider Active NPI

Shellie Marthini, ARNP

  • Gerontology Nurse Practitioner
  • Richland, WA
National Provider Identifier
1790313419
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP61059985 Issued in WA
Practice address
560 Gage Blvd Ste 102
Richland, WA 99352-9531
Phone
(509) 942-3135
Fax
(509) 627-1188
NPI assigned
Mar 29, 2020
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP61059985 WA
Gerontology Nurse Practitioner 363LG0600X AP61059985 WA Primary
Primary Care Nurse Practitioner 363LP2300X AP61059985 WA

Addresses

Primary practice location

560 Gage Blvd Ste 102
Richland, WA 99352-9531

Mailing address

1024 Beane Rd
Moxee, WA 98936-9750
Phone (509) 948-2252

Other practice location 1

12 S 8th St
Yakima, WA 98901-3020
Phone (509) 454-4143

Other practice location 2

301 W Prospect Rd Ste F1
Moxee, WA 98936-9811
Phone (509) 452-8246

Other identifiers 1

IdentifierTypeStateIssuer
169.940-00OtherWAL&I

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL moxeemedicalclinic.com Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200522000583 WA Practitioner - Nurse Practitioner 3678994910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thuthi Enterprises LLCGroup PAC ID 3870903099, 7 clinicians

Practice addresses (Care Compare)

715 N Park Ctr
Suite a
Selah, WA 98942-1174
Phone (509) 698-2624

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61059985WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thuthi Enterprises, LLC CurrentSince Aug 1, 2025 Accepting new patients
Yakima Neighborhood Health Services CurrentSince Apr 27, 2020 Accepting new patients
Sunnyside Community Hospital Association Adult Health CurrentSince Nov 1, 2020 Accepting new patients
Sunnyside Community Hospital Association Current Accepting new patients
Yakima Neighborhood Health Services Current Accepting new patients
Thuthi Enterprises, LLC CurrentSince Aug 1, 2025 Accepting new patients
Yakima Neighborhood Health Services CurrentSince Apr 27, 2020 Accepting new patients
Sunnyside Community Hospital Association CurrentSince Nov 1, 2020 Accepting new patients

Locations

208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855

222 E 2nd St
Grandview, WA 98930
Phone (509) 203-6501

355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366

715 North Park Ctr
Ste A
Selah, WA 98942
Phone (509) 426-2378

715 North Park Ctr
Ste B
Selah, WA 98942
Phone (509) 698-2624

2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848

12 S 8th St
Yakima, WA 98901

Interoperability endpoints

  • Direct secure messaging: shellie.marthini.1@22275.direct.athenahealth.com

Organizations & group practices 10

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 1

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": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1790313419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 BEANE RD",
            "city": "MOXEE",
            "state": "WA",
            "postal_code": "989369750",
            "telephone_number": "509-948-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 GAGE BLVD STE 102",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529531",
            "telephone_number": "509-942-3135",
            "fax_number": "509-627-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 S 8th St",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989013020",
            "country_code": "US",
            "telephone_number": "509-454-4143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 W Prospect Rd Ste F1",
            "address_purpose": "LOCATION",
            "city": "Moxee",
            "state": "WA",
            "postal_code": "989369811",
            "country_code": "US",
            "telephone_number": "509-452-8246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTHINI",
        "first_name": "SHELLIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-29",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP61059985",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP61059985",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61059985",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "169.940-00",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "moxeemedicalclinic.com",
            "affiliation": "N",
            "endpointDescription": "Moxee Medical Clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 W Prospect Rd Ste F1",
            "city": "Moxee",
            "state": "WA",
            "country_code": "US",
            "postal_code": "989369811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.