NPIMap

Organization Active NPI

Healthpoint

Doing business as HealthPoint Bothell Medical

  • Federally Qualified Health Center (FQHC)
  • Bothell, WA
National Provider Identifier
1821096405
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTHPOINT
Doing business as
HealthPoint
HealthPoint Bothell Medical
Practice address
10414 Beardslee Blvd
Suite 100
Bothell, WA 98011
Phone
(425) 486-0658
Fax
(425) 487-6761
NPI assigned
Jul 8, 2005
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Brittany Aydelott
Title
Enrollment Specialist
Phone
(425) 424-6329

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WA
Federally Qualified Health Center (FQHC) 261QF0400X WA Primary

Addresses

Primary practice location

10414 Beardslee Blvd
Suite 100
Bothell, WA 98011

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other identifiers 2

IdentifierTypeStateIssuer
501848OtherWAMEDICARE PART A
7033996MedicaidWA

Other names 2

  • HealthPoint Doing business as
  • HealthPoint Bothell Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040206000245 WA Part B Supplier - Clinic/Group Practice 9335042886 Receives reassigned benefits from 405 practitioners
24 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Renton, WA; Seatac, WA; Seattle, WA; Tukwila, WA; Bothell, WA; Auburn, WA; Redmond, WA; Burien, WA…
O20070830000849 WA Part A Provider - Federally Qualified Health Center (FQHC) 9335042886 Practice locations: Bothell, WA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1821096405. Details of each certification follow.

Federally qualified health center certification: CCN 501848

Legal name
HEALTHPOINT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 1, 1997
Last certification
Jan 1, 1997
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jan 22, 1987 in WA
Enrollment address
10414 Beardslee Blvd 100
Bothell, WA 98011-3205

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Healthpoint

    dba HealthPoint Auburn North Annex

    • Federally Qualified Health Center (FQHC)
    • Auburn, WA
    • NPI 1053172635

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Renton Campus

    • Federally Qualified Health Center (FQHC)
    • Renton, WA
    • NPI 1093237737

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Family First Community Center

    • Federally Qualified Health Center (FQHC)
    • Renton, WA
    • NPI 1093426140

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Kent Urgent Care

    • Federally Qualified Health Center (FQHC)
    • Kent, WA
    • NPI 1144703885

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Tukwila Medical

    • Federally Qualified Health Center (FQHC)
    • Tukwila, WA
    • NPI 1215206313

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Bothell Pharmacy

    • Community/Retail Pharmacy
    • Bothell, WA
    • NPI 1417212911

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Renton Medical

    • Federally Qualified Health Center (FQHC)
    • Renton, WA
    • NPI 1629061353

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Highline Campus Health Center

    • Federally Qualified Health Center (FQHC)
    • Burien, WA
    • NPI 1649992934

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint SeaTac Medical

    • Federally Qualified Health Center (FQHC)
    • Seatac, WA
    • NPI 1659496248

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint TAF@Saghalie Campus Health Center

    • Federally Qualified Health Center (FQHC)
    • Federal Way, WA
    • NPI 1669075024

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Federal Way Medical

    • Federally Qualified Health Center (FQHC)
    • Federal Way, WA
    • NPI 1679575039

    9335042886

    Same PAC ID
  • Healthpoint

    dba HealthPoint Auburn North Medical

    • Federally Qualified Health Center (FQHC)
    • Auburn, WA
    • NPI 1699156141

    9335042886

    Same PAC ID
View all 19

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 24

National Provider Directory

National Provider Directory

Locations

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Delia Martin Individual Corporate DirectorBoard Member Dec 1, 2025
Laura Ward Individual Corporate Director Jan 1, 2021
Carlos Michel Individual Corporate Director Jun 1, 2023
Vicki Hammond Individual Corporate OfficerCfo Nov 29, 2010
Corporate Director Nov 29, 2010
W-2 Managing Employee Jun 24, 2013
Edward Lee Individual Corporate Director Jun 1, 2015
Megan Wildenradt Individual Corporate Director Oct 1, 2010
Alfredo Mogollan-Aranda Individual Corporate Director Jan 1, 2022
Grace Ssebugwawo Individual Corporate Director Dec 1, 2015
Juan Ganz Individual Corporate Director Oct 1, 2019
Chad Horner Individual Corporate Director Nov 1, 2005
Lisa Yohalem Individual Corporate OfficerCeo Feb 1, 2020
Corporate Director Feb 1, 2020
Sheryl Pot Individual Corporate Director Feb 1, 2004

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1821096405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311",
            "fax_number": "425-277-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10414 BEARDSLEE BLVD",
            "address_2": "SUITE 100",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "425-486-0658",
            "fax_number": "425-487-6761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHPOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "AYDELOTT",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "ENROLLMENT SPECIALIST",
        "authorized_official_telephone_number": "425-424-6329"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PART A",
            "identifier": "501848",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7033996",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthPoint",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthPoint Bothell Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.