Active NPI
Anthony Ferrer-Bethencourt, DHA, MPH, BSHPE, EMT
- Community Health Clinic/Center
- Mukilteo, WA
National Provider Identifier
1811657554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Practice address
- 11882 Possession Way
Mukilteo, WA 98275-5174 - Phone
- (206) 274-6614
- NPI assigned
- Dec 21, 2021
- Last updated
- Aug 8, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | NU | ||
| Community Health Clinic/Center | 261QC1500X | NU | Primary | |
| Emergency Care Clinic/Center | 261QE0002X | NU | ||
| Federal Public Health Clinic/Center | 261QP0904X | NU | ||
| Rural Health Clinic/Center | 261QR1300X | NU | ||
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 2002065006 | UT | |
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
11882 Possession Way
Mukilteo, WA 98275-5174
Mailing address
914 164TH St SE # B12-336
Mill Creek, WA 98012-6385
Phone (800) 670-2393
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | hie@millcreekmedical.com | Direct |
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)
- Not enrolled
- Credentials
- Emergency Medical Technician
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002065006 | UT | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1811657554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 164TH ST SE # B12-336",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980126385",
"telephone_number": "800-670-2393",
"fax_number": "866-583-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11882 POSSESSION WAY",
"city": "MUKILTEO",
"state": "WA",
"postal_code": "982755174",
"telephone_number": "206-274-6614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRER-BETHENCOURT",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "DHA, MPH, BSHPE, EMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-21",
"last_updated": "2025-08-08",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP0904X",
"taxonomy_group": "",
"desc": "Clinic/Center, Public Health, Federal",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QR1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rural Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "UT",
"license": "2002065006",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "hie@millcreekmedical.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "914 164th St SE # B12-336",
"city": "Mill Creek",
"state": "WA",
"country_code": "US",
"postal_code": "980126385",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mukilteo, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.