DR. KRISTIN ELISE ERICKSON (NPI# 1326253501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326253501 |
| Entity Type | Individual |
| Full Name | DR. KRISTIN ELISE ERICKSON |
| Credential | M.D. |
| Practice Address |
9040 Jackson Ave Medical Evaluation Board Tacoma WA 98431-0001 |
| Practice Telephone | 2539684479 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-03-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
01060086A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | PHYSICIAN LICENSE | 01060086A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629691399 | Kristin A Erickson | Counselor | 4212 Se Division St Ste 100, Portland, OR 97206-1680 | 2020-05-28 |
| 1659864940 | Kristin Renee Erickson | Physician Assistant | 5409 Vern Holmes Dr, Stevens Point, WI 54482-8853 | 2018-06-11 |
| 1932614823 | Kristin Erickson | Marriage & Family Therapist | 301 The City Dr S, Orange, CA 92868-3205 | 2017-12-13 |
| 1639305766 | Kristin J Erickson | Registered Nurse | 560 W Fir Ave, Government Services Center, Fergus Falls, MN 56537-1364 | 2009-06-03 |
| Street Address |
9040 JACKSON AVE MEDICAL EVALUATION BOARD |
| City | TACOMA |
| State | WA |
| Zip Code | 98431-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 2083P0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Public Health & General Preventive Medicine |
| Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619052289 | Kenneth Lynn Bakken | Preventive Medicine | 2200 N 30th St, Suite 201, Tacoma, WA 98403-3364 | 2006-10-25 |
| 1528036738 | Hieu Viet Hoang | Preventive Medicine | Building 9920b East Hayes St., Madigan Amc, Attn: Mchj-pv, Tacoma, WA 98431-0001 | 2006-03-14 |
| 1417958844 | Christopher Littell | Preventive Medicine | 9040 Jackson Avenue Occupational Health, Tacoma, WA 98431 | 2005-08-09 |
| 1689012742 | Leanna Lyn Gordon | Preventive Medicine | 9040 Jackson Avenue, Tacoma, WA 98431-5001 | 2013-06-11 |
| 1699067868 | Reema Ritika Sikka | Preventive Medicine | 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2011-05-06 |
| 1952605123 | David Joel Harrowe | Preventive Medicine | 3629 S D St, Mailstop 421, Tacoma, WA 98418-6813 | 2011-01-03 |
| 1215107255 | Bradley Clark Gardiner | Preventive Medicine | 9040 Fitzsimmons Dr, Mchj-pv- Department of Preventive Medicine, Tacoma, WA 98431-1000 | 2008-03-05 |
| 1801864103 | Mary Jane Gelnett | Preventive Medicine | Commander, Madigan Army Medical Center, Attn: Mchj-pv (dr. Gelnett), Tacoma, WA 98431-0001 | 2006-03-10 |
| 1578539706 | Evelyn Maria Barraza | Preventive Medicine | Madigan Army Medical Center, 9040 Reid St, Attn: Mchj-qcr, Tacoma, WA 98431-0001 | 2006-02-27 |
| 1558349761 | James Edward Cook | Preventive Medicine | Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2006-01-06 |
| Find all providers in TACOMA | ||||
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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.