Individual provider Active NPI

Juliann Michelle Mendes, D.O.

  • Anatomic Pathology & Clinical Pathology Physician
  • Lynnwood, WA
National Provider Identifier
1972036234
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
OP61391981 Issued in WA
Practice address
19000 33Rd Ave W Ste 230
Lynnwood, WA 98036-4752
Phone
(425) 686-7138
Fax
(425) 745-4104
NPI assigned
Apr 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 34.015514 OH
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X OP61391981 WA Primary

Addresses

Primary practice location

19000 33Rd Ave W Ste 230
Lynnwood, WA 98036-4752

Mailing address

1834 NE Perkins Way
Shoreline, WA 98155-4031

Other practice location 1

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230803000499 WA Practitioner - Pathology 9739540048 Reassigns benefits to 1 organization
I20260327002105 TX Practitioner - PathologyPractitioner - Osteopathic Manipulative Medicine 9739540048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puget Sound Gastroenterology PLLCGroup PAC ID 1759278252, 59 clinicians

Practice addresses (Care Compare)

11027 Meridian Ave N
Suite 100
Seattle, WA 98133-1705
Phone (206) 365-4492

11800 NE 128TH St
Suite 100
Kirkland, WA 98034-7208
Phone (425) 899-4500

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 977-4620

19000 33Rd Ave W
Suite 230
Lynnwood, WA 98036-4752
Phone (425) 686-7138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.015514OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Dec 29, 2024 Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Dec 29, 2024 Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

7114 W Hood Pl
#433
Kennewick, WA 99336
Phone (509) 734-4885

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

19000 33rd Ave W
Ste 230
Lynnwood, WA 98036
Phone (425) 686-7138

11027 Meridian Ave N
Ste 100
Seattle, WA 98133
Phone (206) 365-4492

Organizations & group practices 5

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": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1972036234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1834 NE PERKINS WAY",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981554031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 33RD AVE W STE 230",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364752",
            "telephone_number": "425-686-7138",
            "fax_number": "425-745-4104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441950001",
            "country_code": "US",
            "telephone_number": "216-444-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDES",
        "first_name": "JULIANN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "34.015514",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WA",
            "license": "OP61391981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.