K&S (NPI# 1285908780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285908780 |
| Entity Type | Organization |
| Organization Name | K&S |
| Other Organization Name | WALNUT GROVE MEDICAL |
| Practice Address |
300 W 39th St Vancouver WA 98660-1960 |
| Practice Telephone | 3607182515 |
| Practice Fax Number | 3609931800 |
| Mailing Telephone | 3607182515 |
| Mailing Fax Number | 3609931800 |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-02-29 |
| Authorized Official Name | KELLY MARTENE BELL (PARTNER) |
| Authorized Official Telephone | 3607182515 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30006359 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30005937 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Walnut Grove Medical | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | K&S #101, INC. | 11118 Main Street, Champlain, Ny 129190782 |
| Vermont Business Registrations | K&S #103, INC. | 1118 State Rte 9 Pob 782, Champlain, NY 12919 |
| New York State Corporations | K&S #103, INC. | 97 Old Cider Mill Rd., West Chazy, Ny 12992 |
| New York State Corporations | K&S #104, INC. | 11118 Route 9, Po Box 782, Champlain, Ny 12919 |
| New York State Corporations | K&S #105, INC. | 11118 Route 9, P.o. Box 782, Champlain, Ny 12919 |
| New York State Corporations | K&S #106, INC. | 11118 Route 9, P.o. Box 782, Champlain, Ny 12919 |
| New York State Corporations | K&S 22W66 LLC | 100 Wall Street, 20th Floor, New York, Ny 10005 |
| New York State Corporations | K&S 618-620 LLC | 843 County Route 3, Hannibal, Ny 13074 |
| New York State Corporations | K&S 622-624 LLC | 843 County Route 3, Hannibal, Ny 13074 |
| Colorado Business Entities | K&S 633 Lowell, LLC | 7514 Queen Circle, Arvada, CO 80005 |
| Street Address |
300 W 39TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98660-1960 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912921735 | Alice Anne Williams | Specialist | 300 W 39th St, Vancouver, WA 98660-1960 | 2006-07-26 |
| 1467586883 | Kelly Martene Bell | Nurse Practitioner | 300 W 39th St, Vancouver, WA 98660-1960 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538779137 | Peacehealth Networks On Demand, LLC | Non-Pharmacy Dispensing Site | 781 W Columbia Way, Vancouver, WA 98660 | 2020-08-07 |
| 1538641527 | Melissa Molly Sivaram | Counselor | 1012 Esther St, Vancouver, WA 98660 | 2018-09-05 |
| 1679082598 | Christopher Lewis Schwab | Peer Specialist | 5197 Nw Lower River Rd, Vancouver, WA 98660 | 2017-09-22 |
| 1023560141 | Disabled Veterans Hawaii LLC | Durable Medical Equipment & Medical Supplies | 4817 Nw Fruit Valley Road, Suite 100, Vancouver, WA 98660 | 2016-10-25 |
| 1023493004 | Laura Nicole Wood | Counselor | 1104 Main St Ste M100, Vancouver, WA 98660 | 2015-07-20 |
| 1790034627 | Clark County Juvenile Court | Marriage & Family Therapist | 500 W 11th Street, Vancouver, WA 98660 | 2012-09-06 |
| 1538439104 | Hutton Chiropractic Clinic Inc | Chiropractor | 703 Broadway Street, Ste 650, Vancouver, WA 98660 | 2012-01-12 |
| 1134422629 | Brenda Marie Bible | Social Worker | 101 E 8th St Ste 110, Vancouver, WA 98660 | 2010-12-06 |
| 1871895409 | Donna L Benedicktus | Contractor | 210 E Evergreen Blvd, Vancouver, WA 98660 | 2010-12-02 |
| 1992007801 | Peter Ray Hasemeier | Massage Therapist | 805 Broadway St., Vancouver, WA 98660 | 2010-11-29 |
| Find all providers in zip 98660 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942711767 | Julie B Lawrence | Nurse Practitioner | 900 Ne 139th Street, Suite 202, Vancouver, WA 98685 | 2017-10-19 |
| 1588174833 | Oliver Uy | Nurse Practitioner | 15814 Ne 72nd, Vancouver, WA 98682 | 2017-10-01 |
| 1780103549 | Rebecca Adele Rutledge | Nurse Practitioner | 10503 Ne 67th Ave, Vancouver, WA 98686-5103 | 2017-09-13 |
| 1689044182 | Moonstone Medical Group, Pllc | Nurse Practitioner | 9320 Ne Vancouver Mall Dr, Suite 103, Vancouver, WA 98662-8203 | 2015-09-28 |
| 1366821993 | Derek Simmons | Nurse Practitioner | 700 Ne 87th Ave # 260, Vancouver, WA 98664-1913 | 2015-05-28 |
| 1306155270 | Christie Anne Kratovil | Nurse Practitioner | 8614 E Mill Plain Blvd Ste 310, Vancouver, WA 98664-2058 | 2010-09-27 |
| 1780822916 | Stephanie Renee Jones | Nurse Practitioner | 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 | 2009-01-26 |
| 1942484308 | Chrissie Collette Russell-wilson | Nurse Practitioner | 501 Se 172nd Ave Ste 130, Vancouver, WA 98684 | 2007-12-20 |
| 1093831752 | Sherrie Lee Thomas | Nurse Practitioner | Cascade Park Medical Office. 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2007-03-22 |
| 1669575692 | Debra Ann Goldstein | Nurse Practitioner | 12607 S.e. Mill Plain Blvd., Vancouver, WA 98684 | 2006-09-06 |
| Find all providers in VANCOUVER | ||||
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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.