AUDRIANA MOOTH DO
NPI 1255890638
Student in an Organized Health Care Education/Training Program in Puyallup, WA
NPI Status: Active since March 15, 2019
Contact Information
1322 3RD ST SE
SUITE 240
PUYALLUP, WA
ZIP 98372
Phone: (253) 697-1420
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About AUDRIANA MOOTH
This page provides the complete NPI Profile along with additional information for Audriana Mooth, a primary care provider established in Puyallup, Washington with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1255890638 assigned on March 2019. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1255890638
- Provider Name
- AUDRIANA MOOTH DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1322 3RD ST SE SUITE 240 PUYALLUP, WA 98372
- Location Phone
- (253) 697-1420
- Mailing Address
- 1322 3RD ST SE SUITE 240 PUYALLUP, WA 98372
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-15-2019
- Last Update Date
- 06-25-2021
- Code Navigator
A primary care provider (PCP) like Audriana Mooth sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Medicare Participation & PECOS Enrollment Status
Audriana Mooth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 8 | 9 | 0 | 6 | 3 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 16 | 9 | 0 | 6 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 6 + 9 + 0 + 6 + 6 + 24 = 62 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 62 = 8 | 8 | ||||||||
The NPI number 1255890638 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063426005 | DR. MICHAEL WILLIAM GILLILAND M.D. Individual | Anesthesiology (Pain Medicine) | 1322 3RD ST SE SUITE 100 PUYALLUP, WA 98372 (253) 697-4128 |
| 1417216359 | DR. RYAN PATRICK FINN D.O. Individual | Student in an Organized Health Care Education/Training Program | 1322 3RD ST SE SUITE 240 PUYALLUP, WA 98372 (253) 697-1420 |
| 1598719825 | MARY LOUISE GRODA-LEWIS MD Individual | Family Medicine | 1322 3RD ST SE STE 240 PUYALLUP, WA 98372 (253) 697-5757 |
| 1548526973 | VIVIAN SUSAN LEE M.D. Individual | Family Medicine | 1322 3RD ST SE SUITE 240 PUYALLUP, WA 98372 (253) 697-5757 |
| 1083000855 | JAMES GREEN D.O. Individual | Family Medicine | 1322 3RD ST SE SUITE 240 PUYALLUP, WA 98372 (253) 697-1420 |
| 1215499058 | DR. VENITA LENA SCHANDORF DNP, ARNP, FNP-BC Individual | Nurse Practitioner (Family) | 1322 3RD ST SE PUYALLUP, WA 98372 (253) 697-1420 |
| 1841286101 | GOOD SAMARITAN SURGERY CENTER LLC Organization | Clinic/Center (Ambulatory Surgical) | 1322 3RD ST SE 100 PUYALLUP, WA 98372 (253) 697-5700 |
| 1508907106 | SOUND SURGICAL ASSOCIATES Organization | Surgery | 1322 3RD ST SE SUITE 220 PUYALLUP, WA 98372 (253) 697-4140 |
| 1497962831 | PUYALLUP VALLEY PEDIATRIC ASSOCIATES, P.S. Organization | Pediatrics (Adolescent Medicine) | 1322 3RD ST SE SUITE #240 PUYALLUP, WA 98372 (253) 848-1572 |
| 1841407285 | PUYALLUP CHILDREN'S CLINIC, PLLC Organization | Pediatrics (Adolescent Medicine) | 1322 3RD ST SE STE #240 PUYALLUP, WA 98372 (253) 848-1572 |
| 1790365476 | AVNEET LEHAL DO Individual | Student in an Organized Health Care Education/Training Program | 1322 3RD ST SE PUYALLUP, WA 98372 (253) 697-1420 |
| 1689231284 | ERIK WILLIS DO Individual | Student in an Organized Health Care Education/Training Program | 1322 3RD ST SE PUYALLUP, WA 98372 (253) 697-1420 |
| 1770164352 | AMANDA DIANE BROOKHAUS Individual | Pharmacist | 1322 3RD ST SE PUYALLUP, WA 98372 (303) 548-5795 |
| 1942273768 | DR. WILLIAM EDWIN KRIEGSMAN JR. MD Individual | Family Medicine | 1322 3RD ST SE SUITE 240 PUYALLUP, WA 98372 (253) 697-1420 |
| 1255969796 | CHANDNI SHARMA DO Individual | Student in an Organized Health Care Education/Training Program | 1322 3RD ST SE #300 PUYALLUP, WA 98372 (253) 697-1420 |
| 1396023552 | DR. JULIANNE RAMIREZ-NADJM PHARMD Individual | Pharmacist | 1322 3RD ST SE PUYALLUP, WA 98372 (253) 697-1356 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255890638, enumerated in the NPI registry as an "individual" on March 15, 2019
The provider is located at 1322 3rd St Se Suite 240 Puyallup, Wa 98372 and the phone number is (253) 697-1420
The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
This NPI record was last updated on March 15, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.