Individual provider Active NPI

Vincent Peter Otundo

  • Psychiatric/Mental Health Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1801361126
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61018852 Issued in WA
Practice address
325 E Pioneer
Puyallup, WA 98372-3265
Phone
(253) 697-8400
Fax
(253) 697-3730
NPI assigned
Oct 13, 2018
Last updated
Jul 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61018852 WA Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN60443108 WA

Addresses

Primary practice location

325 E Pioneer
Puyallup, WA 98372-3265

Mailing address

325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 697-8400

Other practice location 1

7224 Pacific Hwy E
Milton, WA 98354-9654
Phone (253) 220-6183

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
I20200302002428 WA Practitioner - Nurse Practitioner 0749617835 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 445-8120

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connectionswa, LLC CurrentSince Dec 9, 2024 Accepting new patients
Multicare Health System CurrentSince Feb 3, 2020 Accepting new patients
Mindful Therapy Group PC Psychiatric/Mental Health CurrentSince May 20, 2022 Accepting new patients
Multicare Health System CurrentSince Feb 3, 2020 Accepting new patients
Multicare Health System Current Accepting new patients
Connectionswa, LLC CurrentSince Dec 9, 2024 Accepting new patients
Telecare Mental Health Services of Washington, Inc. CurrentSince Aug 12, 2020 Accepting new patients
Telecare Mental Health Services of Washington, Inc Current Accepting new patients
Alliance for South Sound Health CurrentSince Nov 21, 2024 Accepting new patients
Telecare Mental Health Services of Washington Inc CurrentSince Aug 12, 2020 Accepting new patients

Locations

1205 S 7th Ave
Ste 105
Phoenix, AZ 85007
Phone (602) 416-7647

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

11410 NE 122nd Way
Ste S250
Kirkland, WA 98034
Phone (425) 650-4005

7224 Pacific Hwy E
Milton, WA 98354
Phone (253) 205-0175

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

325 E Pioneer
Puyallup, WA 98372
Phone (253) 445-8120

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

9601 Steilacoom Blvd SW
Bldg 27
Tacoma, WA 98498
Phone (253) 589-5334

7100 Fort Dent Way
Ste 220
Tukwila, WA 98188
Phone (206) 708-7274

Interoperability endpoints

  • Direct secure messaging: votundo449544@direct.multicare.org

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": "1539388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1801361126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E PIONEER",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723265",
            "telephone_number": "253-697-8400",
            "fax_number": "253-697-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E PIONEER",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723265",
            "telephone_number": "253-697-8400",
            "fax_number": "253-697-3730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7224 Pacific Hwy E",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WA",
            "postal_code": "983549654",
            "country_code": "US",
            "telephone_number": "253-220-6183",
            "fax_number": "253-220-6183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTUNDO",
        "first_name": "VINCENT",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-13",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61018852",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "WA",
            "license": "RN60443108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.