Active NPI
Elizabeth Wytychak Dods, NP
- Nurse Practitioner
- Emeryville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95031987
- Practice address
- 6121 Hollis St Ste 400
Emeryville, CA 94608-2077 - Phone
- (510) 266-5401
- NPI assigned
- Jul 27, 2012
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60411118 | WA | |
| Registered Nurse | 163W00000X | 98811 | CT | |
| Family Nurse Practitioner | 363LF0000X | 005605 | CT | |
| Nurse Practitioner | 363L00000X | 95031987 | CA | Primary |
Addresses
Primary practice location
6121 Hollis St Ste 400
Emeryville, CA 94608-2077
Mailing address
6121 Hollis St Ste 400
Emeryville, CA 94608-2077
Phone (510) 266-5401
Other practice location 1
200 S 2nd St
Renton, WA 98057-2011
Phone (425) 266-7039
Other practice location 2
675 Main St
Middletown, CT 06457
Phone (860) 347-6971
Other practice location 3
222 Front St Fl 6
San Francisco, CA 94111-4422
Phone (415) 956-2884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004236346 | Medicaid | CT |
Other names 1
- Elizabeth Wytychak
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | renton.healthpoint.p3@direct.hpc.nextgenshare.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6121 Hollis St
Suite 400
Emeryville, CA 94608-2077
Phone (650) 723-6855
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98811 | CT | MD | Registered Nurse |
| 95031987 | CA | MD | Nurse Practitioner |
| AP60411118 | WA | MD | Nurse Practitioner |
| 005605 | CT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpoint | Current | Accepting new patients | |
| Healthpoint | Current | Accepting new patients | |
| Healthpoint | Current | Accepting new patients | |
| University Healthcare Alliance | Current | Accepting new patients | |
| Tres Peros Inc | Current | Accepting new patients | |
| Affinity Medical Group | Past | Accepting new patients |
Locations
50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646
6121 Hollis St
Ste 400
Emeryville, CA 94608
Phone (510) 266-5400
1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000
4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060
222 Front St
Fl 6
San Francisco, CA 94111
Phone (415) 956-2884
923 Auburn Way N
Auburn, WA 98002
Phone (253) 351-3900
126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166
2704 I St NE
Auburn, WA 98002
Phone (253) 876-3415
10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658
26401 Pacific Hwy S
Ste 101
Des Moines, WA 98198
Phone (206) 870-3590
33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634
325 W Gowe St
Kent, WA 98032
403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866
16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697
955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166
200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536
400 S 2nd St
Renton, WA 98057
Phone (425) 204-3400
4040 S 188th St
Ste 201
Seatac, WA 98188
Phone (206) 277-7200
12704 76th Ave S
Seattle, WA 98178
Phone (206) 772-2050
13030 Military Rd S
Ste 200
Tukwila, WA 98168
Phone (206) 439-3289
Interoperability endpoints
- elizabeth.wytychak.p3@direct.hpc.nextgenshare.com
- edods543803@direct.stanfordhealthcare.org
- elizabeth.wytychak@770654203019268.direct.elationemr.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Newark, CA
- NPI 1760531198
-
- Federally Qualified Health Center (FQHC)
- Kent, WA
- NPI 1831199454
-
- Sports Medicine Podiatrist
- San Francisco, CA
- NPI 1528363249
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1770471377
-
- Federally Qualified Health Center (FQHC)
- Des Moines, WA
- NPI 1922351527
-
- Case Manager/Care Coordinator
- Foster City, CA
- NPI 1689708042
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1275076325
-
- General Acute Care Hospital
- Emeryville, CA
- NPI 1285177337
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
- General Acute Care Hospital
- Pleasanton, CA
- NPI 1467990465
-
- General Acute Care Hospital
- Stanford, CA
- NPI 1871543215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1861748832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6121 HOLLIS ST STE 400",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082077",
"telephone_number": "510-266-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6121 HOLLIS ST STE 400",
"city": "EMERYVILLE",
"state": "CA",
"postal_code": "946082077",
"telephone_number": "510-266-5401"
}
],
"practiceLocations": [
{
"address_1": "200 S 2nd St",
"address_purpose": "LOCATION",
"city": "Renton",
"state": "WA",
"postal_code": "980572011",
"country_code": "US",
"telephone_number": "425-266-7039",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "675 Main St",
"address_purpose": "LOCATION",
"city": "Middletown",
"state": "CT",
"postal_code": "06457",
"country_code": "US",
"telephone_number": "860-347-6971",
"fax_number": "860-343-7379",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "222 Front St Fl 6",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941114422",
"country_code": "US",
"telephone_number": "415-956-2884",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DODS",
"first_name": "ELIZABETH",
"middle_name": "WYTYCHAK",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-27",
"last_updated": "2025-09-11",
"certification_date": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60411118",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "98811",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CT",
"license": "005605",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95031987",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004236346",
"state": "CT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "renton.healthpoint.p3@direct.hpc.nextgenshare.com",
"affiliation": "N",
"address_1": "200 S 2nd St",
"city": "Renton",
"state": "WA",
"country_code": "US",
"postal_code": "980572011",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "WYTYCHAK",
"credential": "APRN06/13/1986",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Emeryville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.