Valerie Jill Mazziotti, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10002775 Issued in WA

Practice address

27203 216TH Ave SE Ste D
Maple Valley, WA 98038-3274

Phone

(425) 690-3425

Fax

(425) 690-9425

NPI assigned

Jan 12, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Valerie Jill Thibert Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vmazziotti51295@direct.valleymed.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Altea Medical Washington PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Everett, WA
  • NPI 1609655497
  Medicare reassignment NPD
• Valley Medical Group-Renton

  • General Acute Care Hospital
  • Renton, WA
  • NPI 1619209574
  Medicare reassignment
• Post Acute Medical PLLC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lanham, MD
  • NPI 1730713025

  WA

  Medicare reassignment

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1841341450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE STE D",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383274",
            "telephone_number": "425-690-3425",
            "fax_number": "425-690-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE STE D",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383274",
            "telephone_number": "425-690-3425",
            "fax_number": "425-690-9425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 NE Gilman Blvd",
            "address_purpose": "LOCATION",
            "city": "Issaquah",
            "state": "WA",
            "postal_code": "980272925",
            "country_code": "US",
            "telephone_number": "425-557-8000",
            "fax_number": "425-557-8014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZIOTTI",
        "first_name": "VALERIE",
        "middle_name": "JILL",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10002775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "THIBERT",
            "middle_name": "JILL",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alexandra Brooke Mathewes, LMHC, LCPC
• Matthew R Gee MD PC
• Kathryn Elizabeth Mattson, OT
• Adriana Renee May Roman
• Thomas Maynard
• Jessica Angelina McAbee, MD
• Robin McCarthy
• Jared McConahy, DPT
• Shannon McCue, LSWAIC SC61400346
• Jill Ann McDaniel, COTA/L

• Physician Assistant in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.