Individual provider Active NPI

Analee Wittenbrink

  • Addiction (Substance Use Disorder) Counselor
  • Tacoma, WA
National Provider Identifier
1952013138
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CO61276758 Issued in WA
Practice address
3727 S Tacoma Way
Tacoma, WA 98409-3134
Phone
(253) 300-7474
NPI assigned
Dec 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CO61276758 WA Primary

Addresses

Primary practice location

3727 S Tacoma Way
Tacoma, WA 98409-3134

Mailing address

PO Box 39680
Lakewood, WA 98496-3680
Phone (253) 304-7753

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

State licenses

LicenseStateTypeSpecialty
CO61276758WAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rainier Internal Medicine LLC CurrentSince Dec 28, 2022 Accepting new patients
Rainier Internal Medicine LLC PastSince Dec 28, 2022 Accepting new patients

Locations

3727 South Tacoma Way
Tacoma, WA 98409
Phone (253) 300-7474

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1952013138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39680",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984963680",
            "telephone_number": "253-304-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 S TACOMA WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984093134",
            "telephone_number": "253-300-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTENBRINK",
        "first_name": "ANALEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CO61276758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.