KELLY LORRAINE WITTE (NPI# 1073905741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073905741 |
| Entity Type | Individual |
| Full Name | KELLY LORRAINE WITTE |
| Credential | PA-C |
| Practice Address |
358 N Main St Colville Community Health Clinic Colville WA 99114-2310 |
| Practice Telephone | 5096841440 |
| Practice Fax Number | 5096842745 |
| Mailing Telephone | 5096841440 |
| Mailing Fax Number | 5096842745 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2017-01-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 60697687 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158261 | Kelly Witte | Nurse Practitioner | 501 Hearn Street, Austin, TX 78703 | 2020-09-09 |
| 1548603830 | Kelly Witte | Speech-Language Pathologist | 709 Meadow Park Dr, Clinton, WI 53525-9777 | 2013-04-17 |
| Street Address |
358 N MAIN ST COLVILLE COMMUNITY HEALTH CLINIC |
| City | COLVILLE |
| State | WA |
| Zip Code | 99114-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508321852 | Nathan Christopher Barbour | Pharmacist | 358 N Main St, Colville, WA 99114-2310 | 2019-01-31 |
| 1922589092 | New Health Programs Association | Pharmacy | 358 N Main St, Colville, WA 99114-2310 | 2018-08-27 |
| 1841677903 | Akers United Drug, Inc. | Pharmacy | 358 N Main St, C/o Colville Community Health Center, Colville, WA 99114 | 2015-04-28 |
| 1275938672 | New Health Programs Association | Clinic/Center | 358 N Main St, Colville, WA 99114-2310 | 2014-10-28 |
| 1902189095 | Troy Nathan Tolman | Pharmacist | 358 N Main St, Colville, WA 99114-2310 | 2011-09-24 |
| 1073893772 | Melissa Ann Brooks | Nurse Practitioner | 358 N Main St, Colville, WA 99114-2310 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033774799 | Salamia Mikheyeva | Massage Therapist | 697 Gillette Rd., Colville, WA 99114 | 2019-05-07 |
| 1053897694 | Rochelle Diconti | Counselor | 358 E Birch Ave Ste 101, Colville, WA 99114 | 2018-07-17 |
| 1679073928 | Laurel Shull | Massage Therapist | 298 S. Main St., Suite 208, Colville, WA 99114 | 2018-02-13 |
| 1235638123 | Taylor Vanwicklen | Nurse's Aide | 165 E. Hawthorne Ave, Colville, WA 99114 | 2018-02-06 |
| 1932608833 | Sandra Ingram | Registered Nurse | 165 E. Hawthorne Avenue, Colville, WA 99114 | 2018-02-06 |
| 1831451350 | Catherine M Lochner | Occupational Therapist | 1366 Onion Creek Rd., Colville, WA 99114 | 2012-06-11 |
| 1245552215 | Georgia Rae Goot | Hearing Instrument Specialist | 519 S. Main St., Colville, WA 99114 | 2010-02-18 |
| 1801018619 | David W King | Counselor | 165 E Hawthorne Avenue, Colville, WA 99114 | 2007-05-02 |
| 1497976484 | Jack Darrell Esvelt | Dentist | 181 E 1st, Colville, WA 99114 | 2007-05-01 |
| 1730229709 | Carol H Leach | Registered Nurse | 982 E Columbia Ave Ste 201, Colville, WA 99114 | 2007-02-07 |
| Find all providers in zip 99114 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304978 | Lindsey Elaine Foster | Physician Assistant | 1000 E Elep Ave, Colville, WA 99114-5014 | 2020-07-24 |
| 1235605213 | Brianna L Wing | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2018-10-17 |
| 1649607631 | Richard Jason Cardenas | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2013-10-04 |
| 1619165222 | Yelena Rhinebah | Physician Assistant | 143 Garden Homes Dr, Colville, WA 99114-9229 | 2007-10-09 |
| 1225140924 | William Kenneth Hartman Jr. | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114 | 2006-08-31 |
| 1972572303 | Laurence Arthur Houtchens | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2006-03-17 |
| 1649268749 | Philip J Mapes | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2005-10-12 |
| 1710975826 | Sandra K James | Physician Assistant | 1200 E Columbia Ave, Colville, WA 99114-3354 | 2005-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790591 | Bailey Mantha-nagrant | Physician Assistant | 7912 170th Ave Ne Unit 301, Redmond, WA 98052-0907 | 2020-11-07 |
| 1518567791 | Addison Christine Richert | Physician Assistant | 121 Kingfisher Pl, Port Hadlock, WA 98339-8733 | 2020-10-28 |
| 1992312177 | Robert Monsees | Physician Assistant | 490 Packwood Ln, Ellensburg, WA 98926-8027 | 2020-09-30 |
| 1649887548 | Jesse E Davis | Physician Assistant | 3512 Serene Way, Lynnwood, WA 98087-5202 | 2020-09-25 |
| 1558977066 | Kimberly Ho | Physician Assistant | 23004 88th Ave W, Edmonds, WA 98026-8616 | 2020-09-20 |
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1891309555 | Andrew Allyn Bloom | Physician Assistant | 5889 Bow St, Bow, WA 98232-8620 | 2020-09-01 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KELLY LORRAINE WITTE.
| 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.