CHRISTINA SUJIN THEIS (NPI# 1205302478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205302478 |
| Entity Type | Individual |
| Full Name | CHRISTINA SUJIN THEIS |
| Other Name | CHRISTINA SUJIN PAK |
| Credential | ARNP |
| Practice Address |
3916 148th St Se Mill Creek WA 98012 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 4253326948 |
| Practice Fax Number | 4253041102 |
| Mailing Telephone | 4253326948 |
| Mailing Fax Number | 4253041102 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2019-02-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60903574 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6616 183rd St Sw, Lynnwood, WA 980374274 | 5033322399 |
| Street Address |
3916 148TH ST SE |
| City | MILL CREEK |
| State | WA |
| Zip Code | 98012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457468365 | Kelly L. Klotter | Physical Therapist | 3916 148th St Se, Mill Creek, WA 98012 | 2006-08-24 |
| 1265074892 | Karen Mitrakul Deguzman | Counselor | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2019-10-15 |
| 1164972527 | The Everett Clinic, Pllc | Internal Medicine | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2016-10-10 |
| 1710316682 | Kimberly Schwittay | Nurse Practitioner | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2013-11-01 |
| 1942542402 | Andie Rebecca Lesowske | Family Medicine | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2013-03-22 |
| 1285908350 | Erin Heath | Counselor | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2012-03-06 |
| 1619160223 | Christian Herter | Family Medicine | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2007-08-27 |
| 1053461129 | John Francis Mcguigan | Psychologist | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2007-01-11 |
| 1255443636 | John Francis Schulze | Counselor | 3916 148th St Se, Mill Creek, WA 98012-4751 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811502032 | Malia Van-frances Chase | Behavioral Analyst | 18311 Bothel-everett Hwy, Suite 260, Bothell, Wa, WA 98012 | 2020-09-14 |
| 1154951804 | Thea E Byrne | Physical Therapist | 6030 Bothell Everett Hwy, #140, Mill Creek, WA 98012 | 2020-01-22 |
| 1861975526 | Jenifer Rae Denormandie | Pharmacist | 14529 North Creek Drive Apt B210, Mill Creek, WA 98012 | 2018-09-10 |
| 1780161760 | Azadeh Fariba | Naturopath | 15411 40th Dr Se, Bothell, WA 98012 | 2018-07-23 |
| 1720572902 | Rickey Lee Mcgregor | Counselor | 16300 Mill Creek Blvd, Suite 204, Mill Creek, WA 98012 | 2018-06-20 |
| 1306349865 | Rudi Lauren Romaine | Behavioral Analyst | 18311 Bothell-everett Hwy, Suite 260, Bothell, WA 98012 | 2018-03-12 |
| 1164961025 | Wickler Behavioral Consulting | Behavioral Analyst | 632 182nd Street Se, Bothell, WA 98012 | 2017-02-13 |
| 1588026413 | Nathan Earl Crawford | Massage Therapist | 18930 Bothell Everett Hwy, D302, Bothell, WA 98012 | 2016-03-21 |
| 1144618083 | Jocelyn Enabulele | Counselor | 19105 Waxen Road, Bothell, WA 98012 | 2014-12-30 |
| 1124426846 | Teeth R Us | Dentist | 1908 201 Pl Se Suite #201, Bothell, WA 98012 | 2014-12-11 |
| Find all providers in zip 98012 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902154644 | Donielle Suzanne Teter | Nurse Practitioner | Us Rt 219/250, Mill Creek, WV 26280-0247 | 2012-08-28 |
| 1194748517 | Debra Tri | Nurse Practitioner | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 | 2006-07-26 |
| 1275597551 | Elizabeth A Ormond | Nurse Practitioner | 15418 Main St, Mill Creek, WA 98012-9030 | 2006-04-13 |
| 1619949989 | Nadyne D Krienke | Nurse Practitioner | 14327 27th Dr Se, Mill Creek, WA 98012-5739 | 2006-02-02 |
| 1962480251 | Andrea Pierpont Justice | Nurse Practitioner | Rte 219 & 250, Mill Creek, WV 26280-0247 | 2006-01-06 |
| 1659896249 | Lindsay Trudeau | Nurse Practitioner | 16222 Bothell Everett Hwy, Mill Creek, WA 98012-1520 | 2017-08-04 |
| 1295005809 | Katelyn Ann Rowland | Nurse Practitioner | 15906 Mill Creek Blvd, Ste 105, Mill Creek, WA 98012-1797 | 2012-01-12 |
| 1730465485 | Brittany Ann Armstrong-hoss | Nurse Practitioner | 1025 153rd St Se, Suite 200, Mill Creek, WA 98012-4051 | 2011-10-26 |
| 1144470865 | Leah Adela Grant | Nurse Practitioner | 1025 153rd St Se Ste 200, Mill Creek, WA 98012-4051 | 2008-09-30 |
| 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 | ||||
| City | MILL CREEK |
| Zip Code | 98012 |
Please comment or provide details below to improve the information on CHRISTINA SUJIN THEIS.
| 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.