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SEATTLE ROOTS COMMUNITY HEALTH
NPI 1629055900
Clinic/Center - Federally Qualified Health Center (FQHC) in Seattle, WA

Active since December 28, 2005
500 19TH AVE E, SEATTLE, WA 98112(206) 299-1600(206) 299-1608 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 5, 2025, Aug 3, 2022 (2 updates tracked since 2022).

About Seattle Roots Community Health NPPES

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

SEATTLE ROOTS COMMUNITY HEALTH (NPI 1629055900), doing business as Country Doctor Community Clinic, is a healthcare organization registered as a federally qualified health center (fqhc) in Seattle, Washington and active in the NPI registry since December 2005. The organization lists Angie Treptow, Interim Finance Director, as its authorized official.

NPPES Registry Identity

NPI1629055900
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSEATTLE ROOTS COMMUNITY HEALTH
Location Address500 19TH AVE ESeattle, WA 98112
Mailing Address2101 E Yesler Way, Suite 210Seattle, WA 98122-5959 · (206) 709-7112 · Fax (209) 299-1920
Phone(206) 299-1600
Fax(206) 299-1608
Organization SubpartYes
Authorized OfficialAngie TreptowInterim Finance Director · (206) 299-1937
Enumeration DateDecember 28, 2005
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedAugust 3, 2022
✔ NPI 1629055900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 601583685 (WA)
500 19TH AVE E, Seattle, WA 98112
Open in Google Maps ↗

Other Names 2

Doing Business AsCountry Doctor Community Clinic
Doing Business AsSeattle Roots At Country Doctor

Other Identifiers 12

Medicaid1014895WA
Other16943WA · L&i
Medicaid7590243WA
Medicaid8064602WA
Other600508852WA · Ubi
Medicaid7034044WA
Medicaid7900632WA
Medicaid8016081WA
Medicaid6013965WA
Medicaid6014948WA
Medicaid7034598WA
Medicaid8016438WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

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.

DR. RICHARD DAVID KOVAR MD
Family Medicine
500 19TH AVE E
SEATTLE, WA 98112
King County (206) 299-1600
MS. KAREN ALINA JOHNSON ARNP
Nurse Practitioner (Family)
500 19TH AVE E
SEATTLE, WA 98112
King County (206) 299-1600
MARY E CURIEL
Family Medicine
500 19TH AVE E
SEATTLE, WA 98112
King County (206) 299-1600
KATHERINE JUNE HESTER ARNP
Nurse Practitioner (Family)
500 19TH AVE E
SEATTLE, WA 98112
King County (206) 616-1391
MS. ALISON VOINOT RN
Registered Nurse (Perinatal)
500 19TH AVE E
SEATTLE, WA 98112
King County (206) 299-1624
CARLA LEVESQUE RD
Dietitian, Registered
500 19TH AVE E
SEATTLE, WA 98112
King County (206) 299-1683
COUNTRY DOCTOR COMMUNITY CLINIC
Case Manager/Care Coordinator
500 19TH AVE E
SEATTLE, WA 98112
King County (206) 299-1600
COUNTRY DOCTOR COMMUNITY CLINIC
Clinic/Center (Family Planning, Non-Surgical)
500 19TH AVE E
SEATTLE, WA 98112
King County (206) 299-1620

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Seattle Roots Community Health's NPI number?

The NPI number for Seattle Roots Community Health is 1629055900. It was assigned to this organization in the NPPES registry on December 28, 2005. The provider is doing business as Country Doctor Community Clinic and Seattle Roots at Country Doctor.

Where is Seattle Roots Community Health located?

Seattle Roots Community Health is located at 500 19th Ave E, Seattle, WA 98112. The listed phone number is (206) 299-1600.

What is Seattle Roots Community Health's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

What insurance does Seattle Roots Community Health accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Seattle Roots Community Health as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Seattle Roots Community Health was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.