Individual provider Active NPI

Elizabeth Wytychak Dods, NP

  • Nurse Practitioner
  • Emeryville, CA
National Provider Identifier
1861748832
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95031987 Issued in CA
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

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004236346MedicaidCT

Other names 1

  • Elizabeth Wytychak Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address renton.healthpoint.p3@direct.hpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140421001407 WA Practitioner - Nurse Practitioner 3971741729 Reassigns benefits to 1 organization
I20250805003280 CA Practitioner - Nurse Practitioner 3971741729 Reassigns benefits to 1 organization

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
University Healthcare AllianceGroup PAC ID 6305748799, 334 clinicians

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

LicenseStateTypeSpecialty
98811CTMDRegistered Nurse
95031987CAMDNurse Practitioner
AP60411118WAMDNurse Practitioner
005605CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint CurrentSince Dec 1, 2013 Accepting new patients
Healthpoint Current Accepting new patients
Healthpoint CurrentSince Dec 1, 2013 Accepting new patients
University Healthcare Alliance CurrentSince Jul 22, 2025 Accepting new patients
Tres Peros Inc CurrentSince Mar 1, 2025 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

  • Direct secure messaging: elizabeth.wytychak.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: edods543803@direct.stanfordhealthcare.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.