Active NPI
Elidia Colmenares
- Student in an Organized Health Care Education/Training Program
- Renton, WA
National Provider Identifier
1922673300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 723 SW 10TH St
Renton, WA 98057-5223 - Phone
- (206) 461-4880
- NPI assigned
- May 26, 2021
- Reactivated
- Aug 11, 2025
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | Primary |
Addresses
Primary practice location
723 SW 10TH St
Renton, WA 98057-5223
Mailing address
3817 S D St
Tacoma, WA 98418
Other practice location 1
3817 S D st
Tacoma, WA 98418
Phone (253) 876-8900
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)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Tukwila, WA
- NPI 1780774950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755129600000",
"number": "1922673300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3817 S D ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "98418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 SW 10TH ST",
"city": "RENTON",
"state": "WA",
"postal_code": "980575223",
"telephone_number": "206-461-4880"
}
],
"practiceLocations": [
{
"address_1": "3817 S D st",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "98418",
"country_code": "US",
"telephone_number": "253-876-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLMENARES",
"first_name": "ELIDIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-26",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"deactivation_date": "2025-07-11",
"reactivation_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.