DR. KRISTINA C. KWON (NPI# 1053695023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053695023 |
Entity Type | Individual |
Full Name | DR. KRISTINA C. KWON |
Credential | PHD |
Practice Address |
365 118th Ave Se Ste 118 Bellevue WA 98005-3557 |
Practice Telephone | 4256350665 |
Practice Fax Number | 4254542966 |
Mailing Telephone | 4256350665 |
Mailing Fax Number | 4254542966 |
Enumeration Date | 2011-10-07 |
Last Update Date | 2011-10-07 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PY00003102 | WA | Behavioral Health & Social Service Providers |
Street Address |
365 118TH AVE SE STE 118 |
City | BELLEVUE |
State | WA |
Zip Code | 98005-3557 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
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Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
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1851655971 | Sarah Peregrine Lord | Psychologist | 826 102nd Ave Ne Ste 400, Bellevue, WA 98004-4158 | 2012-07-03 |
1992099618 | Chitra Iyer | Psychologist | 15027 Bel Red Rd, Bellevue, WA 98007-4211 | 2011-05-31 |
1801038120 | Kristen Michener | Psychologist | 5150 Village Park Dr Se, Bellevue, WA 98006-6652 | 2009-04-01 |
1346807385 | Polaris Family Behavioral Health, Pllc | Psychologist | 1220 116th Ave Ne Ste 203, Bellevue, WA 98004-3826 | 2019-05-24 |
1942439203 | Charles Muiu | Psychologist | 1103 Galvin Rd S, Area 'n', Bellevue, NE 68005-3002 | 2009-07-08 |
1174772578 | Kerry Victor Ragain | Psychologist | 2025 112th Ave Ne, Bellevue, WA 98004-2943 | 2008-09-10 |
1730337296 | Katerina G. Riabova, M.d. P.s. | Psychologist | 2820 Northup Way Ste 105, Bellevue, WA 98004-1438 | 2008-09-08 |
1174655138 | Renee R Hartman | Psychologist | 11808 Northup Way, Ste W150, Bellevue, WA 98005-1936 | 2007-03-12 |
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1104477322 | Reclaim Counseling Associates LLC | Psychologist | 1610 Grover St Ste B10, Lynden, WA 98264-1539 | 2019-09-28 |
1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
1700396652 | Multicare Health System | Psychologist | 1706 S Meridian Ste 120, Puyallup, WA 98371-7516 | 2017-10-05 |
1689060964 | Anne Bernard Arnett | Psychologist | Chdd Uw, Seattle, WA 98195-0001 | 2015-04-13 |
1982033940 | Elizabeth J. Wasson | Psychologist | 4033 E Madison St Ste 203, Seattle, WA 98112-3104 | 2013-11-10 |
1669700662 | Sol Case Management | Psychologist | 117 S. 3rd Ave., Pasco, WA 99301 | 2009-12-02 |
1710211479 | Patricia A Matestic | Psychologist | 1701 Ne Columbia Rd, Seattle, WA 98195-7921 | 2009-09-29 |
1730330499 | Karen Elizabeth Toth | Psychologist | 6239 Woodlawn Ave N., Seattle, WA 98103 | 2008-09-30 |
1952575300 | Beth R Fitterer | Psychologist | 2527 E 27th Ave, Suite C205, Spokane, WA 99223-4909 | 2008-04-16 |
1124242672 | Angela Marie Hungelmann | Psychologist | 2910 E Madison St Ste 301, Seattle, WA 98112-4214 | 2007-04-13 |
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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.