Individual provider Active NPI

Anthony Ferrer-Bethencourt, DHA, MPH, BSHPE, EMT

  • Community Health Clinic/Center
  • Mukilteo, WA
National Provider Identifier
1811657554
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Practice address
11882 Possession Way
Mukilteo, WA 98275-5174
Phone
(206) 274-6614
NPI assigned
Dec 21, 2021
Last updated
Aug 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
2002065006UTMDEmergency 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.

Verify at the official NPI Registry.