Active NPI
Dorothy Suzanne Pianko, FNP
- Adult Health Nurse Practitioner
- Renton, WA
National Provider Identifier
1821120841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP30007206
- Practice address
- 4033 Talbot Rd S
Suite 500
Renton, WA 98055-5772 - Phone
- (425) 251-5110
- Fax
- (425) 793-7382
- NPI assigned
- Mar 12, 2007
- Last updated
- May 19, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP30007206 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | AP30007206 | WA |
Addresses
Primary practice location
4033 Talbot Rd S
Suite 500
Renton, WA 98055-5772
Mailing address
PO Box 59028
Renton, WA 98058-2028
Phone (425) 251-5110
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0242193 | Other | WA | L&I |
| 9659889 | Medicaid | WA | |
| P00676398 | Other | WA | MED RAILROAD |
| 9514PI | Other | WA | REGENCE |
Other names 1
- Dorothy Suzanne Frodsham
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007206 | WA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274227200000",
"number": "1821120841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59028",
"city": "RENTON",
"state": "WA",
"postal_code": "980582028",
"telephone_number": "425-251-5110",
"fax_number": "425-793-7458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4033 TALBOT RD S",
"address_2": "SUITE 500",
"city": "RENTON",
"state": "WA",
"postal_code": "980555772",
"telephone_number": "425-251-5110",
"fax_number": "425-793-7382"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIANKO",
"first_name": "DOROTHY",
"middle_name": "SUZANNE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2010-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP30007206",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007206",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "0242193",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9659889",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MED RAILROAD",
"identifier": "P00676398",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "9514PI",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DOROTHY",
"last_name": "FRODSHAM",
"middle_name": "SUZANNE",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.