DR. KATHLEEN ANN O'CONNOR (NPI# 1144499682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144499682 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN ANN O'CONNOR |
| Credential | MD |
| Practice Address |
2700 Evergreen Pkwy Nw Sem I, 2110 Olympia WA 98505-0005 |
| Mailing Address |
2700 Evergreen Pkwy Nw Sem I, 2110 Olympia WA 98505-0001 |
| Practice Telephone | 3608676200 |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
MD00036380 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023454790 | Kathleen Patricia O'connor | Dentist | 610 Barnes Blvd, Rockledge, FL 32955-5210 | 2013-05-21 |
| 1396082962 | Kathleen Dolores O'connor | Occupational Therapist | 1514 N 48th St, Milwaukee, WI 53208-2245 | 2013-01-15 |
| 1912173576 | Kathleen A O'connor | Nurse Practitioner | 24 Walton Ct, Newtown, PA 18940-1864 | 2008-05-05 |
| 1457483984 | Kathleen Rae O'connor | Counselor | 12309 15th Ave Ne, Suite D, Seattle, WA 98125-4864 | 2007-03-11 |
| 1083762124 | Kathleen S O'connor | Social Worker | 7701 Pacific St, Ste 122, Omaha, NE 68114-5480 | 2007-01-08 |
| 1588119309 | Kathleen Elizabeth O'connor | Counselor | 6100 Southcenter Blvd, Sound Mental Health, Tukwila, WA 98188-2442 | 2016-08-22 |
| 1750732327 | Kathleen Anne O'connor | Counselor | 8 Atwood Dr, Suite 301, Northampton, MA 01060-4266 | 2016-06-24 |
| 1659730638 | Kathleen Ann O'connor | Nurse Practitioner | 410 Lakeville Rd, New Hyde Park, NY 11042-1101 | 2016-02-18 |
| 1891125357 | Kathleen O'connor | Counselor | 1710 Scott St, San Francisco, CA 94115-3004 | 2013-11-20 |
| 1023301231 | Kathleen Patricia O'connor | Counselor | 3801 N 88th St, Milwaukee, WI 53222-2706 | 2011-05-20 |
| Street Address |
2700 EVERGREEN PKWY NW SEM I, 2110 |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98505-0005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770600629 | Rebecca Rae Johnson | Specialist/Technologist | 2700 Evergreen Pkwy Nw, Olympia, WA 98505-0001 | 2007-03-24 |
| 1104134923 | Susan Estelle Camp | Registered Nurse | 2700 Evergreen Pkwy Nw, Seminar 1-2110, Olympia, WA 98505-0001 | 2010-09-14 |
| 1114195898 | The Evergreen State College | Clinic/Center | 2700 Evergreen Pkwy Nw, Seminar 1 2110, Olympia, WA 98505-0005 | 2008-02-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841590502 | Barbara Ann Krulich | Physician Assistant | 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 | 2010-10-28 |
| 1447568563 | Polly Kay Taylor | Nurse Practitioner | 2700 Evergreen Parkway Nw, Sem 1, Room 2110, The Evergreen Sate College Student Health Center, Olympia, WA 98505 | 2010-09-23 |
| 1811370307 | Jared Vedros | Emergency Medicine | 786 D St, Anchorage, AK 98505 | 2015-07-02 |
| 1740246602 | Janine R Morrell | Nurse Practitioner | 315 Mlk Jr Way, Ms Z0 Ntl, Tacoma, WA 98505 | 2006-04-20 |
| 1609494830 | Madison Samantha Johnson | Counselor | The Evergreen State College 2700 Evergreen Parkway Nw, Olympia, WA 98505-0001 | 2020-07-14 |
| 1710504972 | Ryan Erickson | Counselor | 2700 Evergreen Pkwy Nw Bldg I2731, Olympia, WA 98505-0001 | 2020-07-02 |
| 1619285368 | Elizabeth R Mchugh | Physician Assistant | The Evergreen State College, Seminar 1 Rm 2110, Olympia, WA 98505-0001 | 2010-09-15 |
| 1770511438 | Mark S Peckler | Urology | 3525 Ensign Rd., Suite A, Olympia, WA 98505-0001 | 2006-06-29 |
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336292648 | Miriam Louise Fields | Preventive Medicine | 6035 Woodard Bay Rd Ne, Olympia, WA 98506-1543 | 2007-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851840508 | Kimquy Kieu | Preventive Medicine | 711 24th Ave S, Seattle, WA 98144-3003 | 2016-09-22 |
| 1659799443 | James Kublin | Preventive Medicine | 1100 Fairview Ave N # E3-300, Seattle, WA 98109-4433 | 2014-03-31 |
| 1679918031 | Richard L. Rysdam | Preventive Medicine | 4742 42nd Ave Sw # 292, Seattle, WA 98116-4553 | 2013-04-29 |
| 1275886533 | Ashley Hedeen | Preventive Medicine | 1400 N 143rd St, Seattle, WA 98133-7102 | 2012-10-23 |
| 1821354069 | Aristotle Sun | Preventive Medicine | 3915 Talbot Rd S Ste 104, Renton, WA 98055-5738 | 2012-04-02 |
| 1760756563 | Reimert Thorolf Ravenholt | Preventive Medicine | 3156 E Laurelhurst Dr Ne, Seattle, WA 98105-5333 | 2012-02-27 |
| 1124316641 | Steven Dale Helgerson | Preventive Medicine | 601 Belmont Ave E, Suite F11, Seattle, WA 98102-4875 | 2011-07-18 |
| 1194054247 | Lewis B Rock IIi | Preventive Medicine | 2375 30th Ave Ne, Issaquah, WA 98029-3618 | 2009-12-21 |
| 1609047810 | Paul Howard Stepak | Preventive Medicine | 15300 Bothell Way Ne, Lake Forest Park, WA 98155-7634 | 2008-03-14 |
| 1326253501 | Kristin Elise Erickson | Preventive Medicine | 9040 Jackson Ave Medical Evaluation Board, Tacoma, WA 98431-0001 | 2007-05-11 |
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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.