DR. PATTI JO BRETTELL


Address: 1400 E Kincaid St, Mount Vernon, WA 98274-4127
Phone: 3360428259

DR. PATTI JO BRETTELL (NPI# 1215998125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215998125
Entity Type Individual
Full Name DR. PATTI JO BRETTELL
Credential M.D.
Practice Address 1400 E Kincaid St
Mount Vernon
WA 98274-4127
Practice Telephone 3360428259
Practice Fax Number 3604282560
Mailing Telephone 3604282500
Mailing Fax Number 3604286485
Enumeration Date 2006-03-30
Last Update Date 2012-06-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
MD00043392 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA LABOR & INDUSTRIES 0263653 01
WA 1215998125 05

Office Location

Street Address 1400 E KINCAID ST
City MOUNT VERNON
State WA
Zip Code 98274-4127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972508836 James William Hartley Nurse Practitioner 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2005-06-16
1750997433 Katie Akane Kaestner Physician Assistant 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2020-09-18
1376189555 Shaneen Fernandez Advanced Practice Midwife 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2019-11-21
1558906008 Andrea Marie Phillips Advanced Practice Midwife 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2019-11-07
1174097026 Rebecca Anne Knight Advanced Practice Midwife 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2019-01-14
1700359445 Michael A Payne Registered Nurse 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2019-01-05
1093298051 Emily Jean Jette Physician Assistant 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2018-09-14
1841647849 Marla Oakes Pharmacist 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2016-05-19
1508213794 Catherine Schnabel Physician Assistant 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2016-05-18
1649634437 Carlyn King Obstetrics & Gynecology 1400 E Kincaid St, Mount Vernon, WA 98274-4127 2016-04-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881123438 Ankur Tarun Sanghvi Peer Specialist 209 Milwaukee Steet, 209, Mount Vernon, WA 98274 2017-06-07
1932647187 Claudia Diaz Counselor 23550 Garden St, Mount Vernon, WA 98274 2017-02-08
1871042002 Richard Simcock Dds, Ps Dentist 130 S 15th St Suite 101, Mount Vernon, WA 98274 2016-09-29
1528228186 Parampreet Singh Ghuman Internal Medicine 121 S. 12th St, Ste B, Mount Vernon, WA 98274 2008-06-16
1699940874 Eugene Villanueva De Guzman Internal Medicine 208 S Hospital Pkwy, Mount Vernon, WA 98274 2008-04-28
1871775122 Matthew John Novak Internal Medicine 208 Hospital Pkwy, Mount Vernon, WA 98274 2007-11-28
1568658797 Emily A K Bianconi Nurse Practitioner 2101 Little Mountain Lane, Mount Vernon, WA 98274 2007-09-21
1659576981 Peggy Randall Counselor 1420 S 12th, Mount Vernon, WA 98274 2007-06-18
1194937037 Cascade Neurologic Clinic, Inc, P.s. Clinic/Center 1315 East Division St., Mt. Vernon, WA 98274 2007-05-04
1427171297 Keri L D Halgren Dentist 1711 E Division Street, Mt Vernon, WA 98274 2007-04-09
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Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487645776 Tomasz A Kosierkiewicz X Psychiatry & Neurology 2605 Main St, Mount Vernon, IL 62864-2372 2005-11-04
1437401072 Asok K Lahiri Md PC Psychiatry & Neurology 12 N 7th Ave, 5th Floor, Mount Vernon, NY 10550-2026 2012-10-05
1487924254 Kathryn Anne Roberts Psychiatry & Neurology 1400 E Kincaid St, Mount Vernon, WA 98274 2012-01-10
1972893238 Peter J. Struck Psychiatry & Neurology 1400 E. Kincaid Street, Mount Vernon, WA 98274-4127 2011-04-07
1700848405 Asok Lahiri Psychiatry & Neurology 12 N 7th Ave, 5th Floor, Mount Vernon, NY 10550-2026 2006-04-06
1720079015 Mt Vernon Neurology, S.c. Psychiatry & Neurology 2605 Main St, Mount Vernon, IL 62864-2372 2005-11-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720608235 Alexander John Arnold Psychiatry & Neurology 1959 Ne Pacific St, Rr650, Seattle, WA 98195 2020-04-24
1760024632 Ethan Budd Russo Psychiatry & Neurology 20402 81st Avenue Sw, Vashon, WA 98070-6253 2019-10-12
1730683053 Selkirk Neurology Pllc Psychiatry & Neurology 610 S Sherman St Ste 201, Spokane, WA 99202-1342 2018-03-21
1881116341 William Russell Schmidt Psychiatry & Neurology 12207 243rd Pl Ne, Redmond, WA 98053-5685 2017-07-16
1568872281 Marie-sarah Gagne Brosseau Psychiatry & Neurology 1536 N 115th Street, Suite 130, Seattle, WA 98133 2014-05-02
1972920049 Anusha Mannava Psychiatry & Neurology 1100 Goethals Dr Ste D, Richland, WA 99352 2014-03-26
1275954646 George Delyanis Psychiatry & Neurology 1220 Ventura Dr, Tacoma, WA 98465-1240 2014-01-02
1326381500 Jill Kaspar Baird Psychiatry & Neurology 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 2013-04-05
1124361993 Malveeka Sharma Psychiatry & Neurology 325 9th Ave Rm 3ct70, Seattle, WA 98104 2013-03-31
1124367776 Tilahun Haile Abraha Psychiatry & Neurology 317 Nine Bark St Nw, Olympia, WA 98502-8709 2013-02-01
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Competitor

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City MOUNT VERNON
Zip Code 98274

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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