MATTHEW CENTENO
NPI 1912556382
Student in an Organized Health Care Education/Training Program in Burien, WA

Q: What is Matthew Centeno's NPI number?

The NPI number for Matthew Centeno is 1912556382. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Q: What is Matthew Centeno's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Centeno was last updated on September 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 September 09, 2019PECOS Enrolled

1210 SW 136TH ST, BURIEN, WA 98166(206) 257-6600 Get Directions Write a Review

NPPES record last updated: September 9, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Matthew Centeno NPPES

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

MATTHEW CENTENO (NPI 1912556382) is an individual student in an organized health care education/training program in Burien, Washington and active in the NPI registry since September 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912556382

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMATTHEW CENTENO

Location Address1210 SW 136TH STBurien, WA 98166-1214

Mailing Address1210 Sw 136th StBurien, WA 98166-1214

Phone(206) 257-6600

Sole ProprietorNo

Enumeration DateSeptember 9, 2019

✔ NPI 1912556382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

1210 SW 136TH ST, Burien, WA 98166

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Matthew Centeno 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.

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.

TAYLOR MARIE GROGAN

Counselor (Mental Health)