Active NPI
Paula Brentlinger
- Family Medicine Physician
- Tukwila, WA
National Provider Identifier
1982697652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00021701
- Practice address
- 13030 Military Rd S Ste 200
Tukwila, WA 98168-3001 - Phone
- (206) 439-3289
- NPI assigned
- Aug 26, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00021701 | WA | Primary |
Addresses
Primary practice location
13030 Military Rd S Ste 200
Tukwila, WA 98168-3001
Mailing address
955 Powell Ave SW
Renton, WA 98057-2908
Other practice location 1
16315 NE 87th St
Ste B-6
Redmond, WA 98052-3537
Phone (425) 882-1697
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00021701 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthpoint | Past | Accepting new patients | |
| Healthpoint | Family Medicine | Past | Accepting new patients |
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.
-
- Community/Retail Pharmacy
- Redmond, WA
- NPI 1245666221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588377600000",
"number": "1982697652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "955 POWELL AVE SW",
"city": "RENTON",
"state": "WA",
"postal_code": "980572908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13030 MILITARY RD S STE 200",
"city": "TUKWILA",
"state": "WA",
"postal_code": "981683001",
"telephone_number": "206-439-3289"
}
],
"practiceLocations": [
{
"address_1": "16315 NE 87th St",
"address_2": "Ste B-6",
"address_purpose": "LOCATION",
"city": "Redmond",
"state": "WA",
"postal_code": "980523537",
"country_code": "US",
"telephone_number": "425-882-1697",
"fax_number": "425-885-4179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRENTLINGER",
"first_name": "PAULA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2020-05-02",
"certification_date": "2020-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00021701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tukwila, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.