GWEN MUTHANNA (NPI# 1316236706) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316236706 |
| Entity Type | Individual |
| Full Name | GWEN MUTHANNA |
| Credential | ARNP |
| Practice Address |
800 5th Ave Ste 600 Seattle WA 98104 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 8882273312 |
| Practice Fax Number | 2062151429 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2018-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN60095376 | WA | Nursing Service Providers |
| N | 363L00000X | Nurse Practitioner | AP60200007 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60200007 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1316236706 | 05 |
| Street Address |
800 5TH AVE STE 600 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639280191 | Holly J Christoferson | Family Medicine | 800 5th Ave Ste 600, Seattle, WA 98104-3186 | 2006-08-31 |
| 1386120574 | Alison Esther Izquierdo | Registered Nurse | 800 5th Ave Ste 600, Seattle, WA 98104 | 2018-07-11 |
| 1336537612 | Jennifer Stroup O'donnell | Psychologist | 800 5th Ave Ste 600, Seattle, WA 98104 | 2015-01-08 |
| 1578992012 | Matthew Melvin Tiemann | Physician Assistant | 800 5th Ave Ste 600, Seattle, WA 98104 | 2013-11-05 |
| 1770812687 | Amanda S Eskola | Social Worker | 800 5th Ave Ste 600, Seattle, WA 98104-3186 | 2009-12-24 |
| 1376771683 | Eric E. Burlingame | Pediatrics | 800 5th Ave Ste 600, Seattle, WA 98104 | 2009-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| 1225647381 | Donica Liwanag Badua | Nurse Practitioner | 819 Virginia St Unit 2605, Seattle, WA 98101-4430 | 2020-07-24 |
| 1326664145 | William Silas Nichols | Nurse Practitioner | 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 | 2020-06-17 |
| 1306485370 | Samuelle Genevievre Inevil | Nurse Practitioner | 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592 | 2019-12-23 |
| 1841838422 | Rachel Sasinowski Herrmann | Nurse Practitioner | 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 | 2019-12-14 |
| 1265085542 | Hyunjoo Hannah Bae | Nurse Practitioner | 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 | 2019-07-16 |
| 1699247874 | Brien Claes Barrett | Nurse Practitioner | 10315 Stone Ave N, Seattle, WA 98133-9419 | 2018-12-28 |
| 1730662057 | Heather Renee Grods | Nurse Practitioner | 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 | 2018-09-12 |
| 1639651086 | Amanda Matthews | Nurse Practitioner | 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 | 2018-09-02 |
| Find all providers in SEATTLE | ||||
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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.