MS. KATHRYN MARY BURRELL (NPI# 1174854764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174854764 |
Entity Type | Individual |
Full Name | MS. KATHRYN MARY BURRELL |
Credential | ARNP |
Practice Address |
410 Providence Ln Ne Olympia WA 98506-6927 |
Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
Practice Telephone | 3604935369 |
Mailing Telephone | 3604866508 |
Enumeration Date | 2010-01-20 |
Last Update Date | 2015-10-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP30006040 | WA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
410 PROVIDENCE LN NE |
City | OLYMPIA |
State | WA |
Zip Code | 98506-6927 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578673430 | Susan U Doolittle | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2006-08-30 |
1043741549 | Angelica Kim | Physical Therapist | 410 Providence Ln Ne, Emilie Gamelin Pavilion, 2nd Floor, Olympia, WA 98506-6927 | 2017-03-25 |
1275995409 | Eliza Deguzman | Pharmacist | 410 Providence Ln Ne, Emilie Gamelin Pavilion, Olympia, WA 98506-6927 | 2016-03-26 |
1356709695 | Robin Wooldridge | Pharmacist | 410 Providence Ln Ne, Emilie Gamelin Pavilion, Olympia, WA 98506-6927 | 2016-02-01 |
1528436995 | Mackenzie Smith | Pharmacist | 410 Providence Ln Ne, Olympia, WA 98506 | 2015-09-02 |
1881016681 | Kristin Bradshaw | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-13 |
1538581715 | Robert Bell | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-07 |
1508287848 | Deanna Carol Knoll | Physical Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-03 |
1194146506 | Nancy Willard | Speech-Language Pathologist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-02 |
1538580956 | Brenda Mckey | Occupational Therapist | 410 Providence Ln Ne, Olympia, WA 98506-6927 | 2014-01-02 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477185460 | Chloe Harper | Technician, Other | 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 | 2020-02-07 |
1912543539 | Jessica Marie Radakovich | Licensed Practical Nurse | 3426 Mary Elder Rd, Olympia, WA 98506 | 2019-11-19 |
1669014973 | Arlene Josephine Adams | Registered Nurse | 413 Lily Rd Ne, Olympia, WA 98506 | 2019-10-09 |
1861999120 | Debra Delores Barker | Licensed Practical Nurse | 3710 South Bay Rd Ne, Olympia, WA 98506 | 2018-04-12 |
1801304431 | Michelle Warner | Nurse Practitioner | 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 | 2018-01-17 |
1396258364 | Institute for Family Development | Community/Behavioral Health | 204 Quince St. Ne, Suite 200, Olympia, WA 98506 | 2017-11-13 |
1083137715 | Cameron Kunkel | Specialist/Technologist | 2512 20th Ave Ne, Olympia, WA 98506 | 2017-07-25 |
1184144768 | Trevor Shane Kwan | Family Medicine | 525 Lilly Road Ne, Olympia, WA 98506 | 2017-06-23 |
1073043212 | Michael H Harburg | Behavior Technician | 3857 Martin Way Ne, Olympia, WA 98506 | 2017-06-19 |
1780114371 | Priscilla Kangyang Jadu | Counselor | 3857 Martin Way E., Olympia, WA 98506 | 2017-06-15 |
Find all providers in zip 98506 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598272221 | Alisa Faye Hemmersbach | Nurse Practitioner | 5512 Anton Ct Se, Olympia, WA 98501-5104 | 2018-01-03 |
1902834781 | Margaret D Zimmerman | Nurse Practitioner | 2411 Pacific Ave Se, Olympia, WA 98501-2048 | 2006-06-29 |
1902264856 | Stephanie Mitchell | Nurse Practitioner | 209 Lilly Rd Ne, Olympia, WA 98506 | 2016-02-07 |
1124284484 | Nicole Hugie Terry | Nurse Practitioner | 413 Lilly Rd Ne, Pmg Sw Wa Psph Hospitalists, Olympia, WA 98506-5133 | 2008-08-05 |
1093979940 | Scott L. Archer | Nurse Practitioner | 413 Lilly Rd Ne, Providence St Peter Hosp - PC, Olympia, WA 98506-5133 | 2008-07-10 |
1508055435 | Lynn Marie Okita | Nurse Practitioner | 525 Lilly Rd Ne Ste 250, Olympia, WA 98506 | 2007-10-16 |
1841405982 | Ewh Inc | Nurse Practitioner | 1100 Eastside St Se, Olympia, WA 98501-7304 | 2007-05-11 |
1578784385 | Callie Wilson | Nurse Practitioner | 412 Lilly Rd Ne, Olympia, WA 98506-5132 | 2007-05-01 |
1447479134 | Caitlin F Rodman | Nurse Practitioner | 3425 Ensign Rd Ne Ste 220, Pmg Sw Wa South Sound Internal Medicine, Olympia, WA 98506-5063 | 2007-04-24 |
1558427732 | Melonie K. Rockwell | Nurse Practitioner | 700 Lilly Rd Ne, Olympia, WA 98506-5115 | 2006-12-29 |
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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.