MS. NICOLE AVERIL BLYTHE MSW
NPI 1063725372
Social Worker in Renton, WA

Q: What is Nicole Blythe's NPI number?

The NPI number for Nicole Blythe is 1063725372. It was assigned to this individual provider in the NPPES registry on July 16, 2010.

Q: What is Nicole Blythe's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Blythe was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 16, 2010PECOS Enrolled

2921 NACHES AVE SW, RENTON, WA 98057(206) 630-1380 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Nicole Averil Blythe Msw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. NICOLE AVERIL BLYTHE MSW (NPI 1063725372) is an individual social worker in Renton, Washington, licensed in Washington (LW60411039) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063725372

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMS. NICOLE AVERIL BLYTHECredential: MSW

Location Address2921 NACHES AVE SWRenton, WA 98057-2617

Mailing Address2921 Naches Ave SwRenton, WA 98057-2617 · (206) 630-1680

Phone(206) 630-1380

Sole ProprietorYes

Enumeration DateJuly 16, 2010

Last NPPES UpdateMay 13, 2022

NPPES CertifiedMay 13, 2022

✔ NPI 1063725372 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in WA · LW60411039

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

2921 NACHES AVE SW, Renton, WA 98057

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Nicole Averil Blythe Msw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Blythe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington

0.1 mi

Multi-Specialty

2715 NACHES AVE SW # GSWA1N02
Renton, WA 98057

Reassigned Medicare billing, Washington enrollment
2,678 clinicians in this Medicare group

NPI 1124264577 (509) 241-7349

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY TOSHIO LEW PHARMD

Pharmacist