MS. KATHERINE VERONICA GAUDETTE (NPI# 1336422674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336422674 |
Entity Type | Individual |
Full Name | MS. KATHERINE VERONICA GAUDETTE |
Other Name | MS. KATHERINE VERONICA HOPPERT |
Credential | ARNP |
Practice Address |
2901 174th St Ne Marysville WA 98271-4743 |
Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
Practice Telephone | 3604541953 |
Mailing Telephone | 3604541953 |
Enumeration Date | 2011-09-22 |
Last Update Date | 2016-08-26 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | RN00174782 | WA | Nursing Service Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60464002 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2047988 | 05 |
Street Address |
2901 174TH ST NE |
City | MARYSVILLE |
State | WA |
Zip Code | 98271-4743 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205832078 | Ray F Smith | Family Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2005-06-24 |
1720698996 | Deandra T Elcock | Physical Therapist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-08-03 |
1437774338 | Jacqueline Wahl | Nurse Practitioner | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-06-16 |
1902432131 | Justine Rodriguez | Physical Therapy Assistant | 2901 174th St Ne, Marysville, WA 98271-4743 | 2020-03-19 |
1376021204 | Tzyy-shiuan Young | Audiologist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2018-08-02 |
1891238887 | Joli Butler | Physical Therapist | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-11-23 |
1437500659 | Rahul Surana | Internal Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-06-29 |
1326499575 | Sara Mirani Pournia | Internal Medicine | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-06-29 |
1790143212 | Maren Lee Mansfield | Nurse Practitioner | 2901 174th St Ne, Marysville, WA 98271-4743 | 2016-01-29 |
1487019857 | Emily Coraci | Physician Assistant | 2901 174th St Ne, Marysville, WA 98271-4743 | 2015-12-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
Find all providers in zip 98271 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598933830 | Frank J Rodell | Nurse Practitioner | 3955 156th St Ne, Marysville, WA 98271-4831 | 2008-02-20 |
1982607313 | Emily Carol Fischer | Nurse Practitioner | 4308 76th Street Ne, Marysville, WA 98270 | 2005-05-31 |
1316554306 | Havilyn Michele Harrar | Nurse Practitioner | 1908 N Beale Rd Ste E, Marysville, CA 95901-6937 | 2020-09-24 |
1104338144 | Vest Seattle, LLC | Nurse Practitioner | 3955 156th St Ne, Marysville, WA 98271-4831 | 2017-10-31 |
1952644965 | Anita T Sassaman | Nurse Practitioner | 3955 156th St Ne, Marysville, WA 98271-4831 | 2013-03-28 |
1992064125 | Elizabeth Bielstein | Nurse Practitioner | 2901 174th St Ne, Marysville, WA 98271-4743 | 2012-05-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
Find all providers with the same taxonomy |
City | MARYSVILLE |
Zip Code | 98271 |
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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.