KRISTIE K MARBUT (NPI# 1225021934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225021934 |
| Entity Type | Individual |
| Full Name | KRISTIE K MARBUT |
| Credential | ARNP |
| Practice Address |
4113 Bridgeport Way W Suite F University Place WA 98466-4325 |
| Mailing Address |
3698 Redmaple Rd Salt Lake City UT 84106-1521 |
| Practice Telephone | 2535657686 |
| Practice Fax Number | 2535660210 |
| Mailing Telephone | 8019060513 |
| Mailing Fax Number | 8019060516 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2014-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
AP30004331 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
50963944405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP30004331 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4113 BRIDGEPORT WAY W SUITE F |
| City | UNIVERSITY PLACE |
| State | WA |
| Zip Code | 98466-4325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316421720 | Christie C Him | Massage Therapist | 4113 Bridgeport Way W, University Place, WA 98466-4325 | 2018-09-20 |
| 1205289360 | Sunrise Psychology, LLC | Counselor | 4113 Bridgeport Way W, Ste C1, University Place, WA 98466-4325 | 2016-07-13 |
| 1851745806 | Bethany French | Massage Therapist | 4113 Bridgeport Way W, Ste B, University Place, WA 98466-4325 | 2016-04-15 |
| 1750759585 | Northwest Therapeutic Massage | Massage Therapist | 4113 Bridgeport Way W, Suite B, University Place, WA 98466-4325 | 2015-09-10 |
| 1902288715 | Tomas Shash | Massage Therapist | 4113 Bridgeport Way W, Ste. B, University Place, WA 98466-4325 | 2015-06-29 |
| 1215235270 | Young Jeremiah Yoon, Dmd,rph, PC | Dentist | 4113 Bridgeport Way W, Suite A, University Place, WA 98466-4325 | 2011-02-28 |
| 1811138175 | Dawn M Breikss | Counselor | 4113 Bridgeport Way W, Ste C-1, University Place, WA 98466-4325 | 2009-03-17 |
| 1215109244 | Thomas Amos | Counselor | 4113 Bridgeport Way W, Suite C-1, University Place, WA 98466-4325 | 2008-03-31 |
| 1689855579 | Wes Cauthers | Counselor | 4113 Bridgeport Way W, C-1, University Place, WA 98466-4325 | 2007-11-19 |
| 1649477621 | William John Harris | Dentist | 4113 Bridgeport Way W, University Place, WA 98466-4325 | 2007-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306499215 | Julie Mccartney | Counselor | 7610 40th St W Ste 20, University Place, WA 98466 | 2019-07-19 |
| 1033682752 | Jms Corporate Services Group | In Home Supportive Care | 2621 70th Avenue West, Suite C, University Place, WA 98466 | 2019-01-04 |
| 1992270243 | Kathleen Marie Kulman | Massage Therapist | 4113 Bridgeport Avenue, Suite B, Tacoma, WA 98466 | 2018-10-12 |
| 1518441674 | Michala Lin Dymond-shaw | Speech-Language Pathologist | 3725 Grandview Dr W, University Place, WA 98466 | 2018-09-24 |
| 1770001133 | Micky Patrick Cates | Physician Assistant | 1924 70th Ave West, Apt E5, University Place, WA 98466 | 2017-09-06 |
| 1386160984 | Stephanie Herrala | Dentist | Okubo Dental Clinic 11582 C St, Jblm, WA 98466 | 2017-08-16 |
| 1033581640 | Jay Hyuck Sung | Dentist | 3670 Bridgeport Way W, Unit B, University Place, WA 98466 | 2015-10-22 |
| 1174951867 | Adrienne Holliday | Occupational Therapy Assistant | 3717 Grandview Drive W, University Place, WA 98466 | 2013-10-16 |
| 1598106650 | Maricris Pang Espino | Registered Nurse | 1541 Cottonwood Avenue, Fircrest, WA 98466 | 2013-07-17 |
| 1417393653 | Nurhan Karakas | Counselor | 9330 59th Ave Sw, Lakewood, WA 98466 | 2013-05-15 |
| Find all providers in zip 98466 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467545038 | Michele Frame | Nurse Practitioner | 900 Pacific Avenue, 2nd Floor, Everett, WA 98201-4168 | 2006-10-02 |
| 1023627528 | Stephanie Jessica Partin | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-07-30 |
| 1962046425 | Kelsie Shizuyo Furutani | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-28 |
| 1265097752 | Kaylee Michelle Ehman | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-05-09 |
| 1295291755 | Brandy Nicole Galloway | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-02-20 |
| 1598259194 | Tiffany N Bautista | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2018-06-18 |
| 1548750276 | Rocio Noemi Humphrey | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2018-05-17 |
| 1205340304 | Joanna Marie Mclaughlin | Nurse Practitioner | 1959 Ne Pacific St, Seattle, WA 98195-3003 | 2017-11-28 |
| 1841730637 | Nathanael Schooley | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2017-02-28 |
| 1467908756 | Katherine Becerra | Nurse Practitioner | 888 Swift Blvd, Richland, WA 99352-3514 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | UNIVERSITY PLACE |
| Zip Code | 98466 |
Please comment or provide details below to improve the information on KRISTIE K MARBUT.
| 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.