BROOKE CASIPIT (NPI# 1093010100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093010100 |
| Entity Type | Individual |
| Full Name | BROOKE CASIPIT |
| Practice Address |
17511 68th Ave Ne Suite C Kenmore WA 98028-2504 |
| Practice Telephone | 4254868300 |
| Mailing Telephone | 4254868300 |
| Enumeration Date | 2011-01-20 |
| Last Update Date | 2012-10-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60169843 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17511 68TH AVE NE SUITE C |
| City | KENMORE |
| State | WA |
| Zip Code | 98028-2504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131237 | Pacifica Kenmore LLC | Alzheimer Center (Dementia Center) | 7221 Ne 182nd Street, Kenmore, WA 98028 | 2020-10-13 |
| 1487173183 | Reiko Margarete Kobayashi-wagner | Dietitian, Registered | 17512 83rd Pl Ne, C304, Kenmore, WA 98028 | 2017-09-13 |
| 1356866776 | Matthew Vaughn | Specialist/Technologist | 6741 Ne 182nd St, Unit C313, Kenmore, WA 98028 | 2017-08-07 |
| 1619407467 | Suzanne Marie Gisch | Family Medicine | 18151 68th Ave Ne, Unit 219, Kenmore, WA 98028 | 2017-06-14 |
| 1063853018 | Vinai Prakash | Podiatrist | 6610 Ne 181st St Ste 4, Kenmore, WA 98028 | 2013-07-07 |
| 1760732580 | Benjamin Dorantes Dds Pllc | Dentist | 5710 Bothell Way Ne, Ste. 5, Kenmore, WA 98028 | 2012-09-19 |
| 1538491378 | Kellie A Cheever | Massage Therapist | 8846 Ne 160th Pl, Kenmore, WA 98028 | 2010-02-04 |
| 1275867855 | Mei-hsuan Ko | Dentist | 5723 Ne Bothell Way Ste C, Kenmore, WA 98028 | 2009-09-29 |
| 1659521912 | Wayne E Carr | Psychologist | 7800 N E Bothell Way, Suite 155 B, Kenmore, WA 98028 | 2008-09-23 |
| 1366625899 | Kevin Michael Smith | Chiropractor | 7249 Ne 171st Ln, Kenmore, WA 98028 | 2007-12-06 |
| Find all providers in zip 98028 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780107102 | Nicole Lee Faulkner | Nurse Practitioner | 2950 Elmwood Ave Rm 4014, Kenmore, NY 14217-1304 | 2017-07-18 |
| 1902326614 | Biwei Dong | Nurse Practitioner | 18022 68th Ave Ne, Kenmore, WA 98028-2400 | 2017-06-23 |
| 1265813976 | Lindsay Bota | Nurse Practitioner | 2780 Delaware Ave, Ste 201, Kenmore, NY 14217-2740 | 2015-06-18 |
| 1295968360 | Travis Jo Gerhart Cufley | Nurse Practitioner | 18208 66th Ave Ne Ste 200, Kenmore, WA 98028-7949 | 2009-08-24 |
| 1356516009 | Sharla Kay Peterson | Nurse Practitioner | 6443 Ne 181st St, Kenmore, WA 98028-4831 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889369 | Abigail E Mercure | Nurse Practitioner | 7618 Ne Champagne Point Pl, Kirkland, WA 98034-3448 | 2020-10-24 |
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1700485919 | Yanique Ricie Nana Yakam Azah | Nurse Practitioner | 22829 Se 239th Ct, Maple Valley, WA 98038-5052 | 2020-10-19 |
| 1164029484 | Chelsea Lauren Bresnahan | Nurse Practitioner | 7928 S Parway Ln, Cheney, WA 99004-8619 | 2020-10-08 |
| 1023615549 | Brian D Ottesen | Nurse Practitioner | 2315 Crestwood Pl Nw, Olympia, WA 98502-4095 | 2020-10-07 |
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1740896927 | Maia Zink | Nurse Practitioner | 10837 E Riverside Dr Apt C, Bothell, WA 98011-6123 | 2020-09-22 |
| 1760098339 | Yunyun Lu | Nurse Practitioner | 4922 51st Avenue Ct W, University Place, WA 98467-4828 | 2020-09-19 |
| 1255944278 | Alexis Leanne Snyder | Nurse Practitioner | 717 S 51st St, Tacoma, WA 98408-5710 | 2020-08-28 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| Find all providers with the same taxonomy | ||||
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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.