KYLANNE BERRY (NPI# 1346772563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346772563 |
| Entity Type | Individual |
| Full Name | KYLANNE BERRY |
| Credential | PA-C |
| Practice Address |
4420 76th St Ne Marysville WA 98270-3726 |
| Mailing Address |
Po Box 5127 Everett WA 98206-5127 |
| Practice Telephone | 3606517491 |
| Practice Fax Number | 3606517481 |
| Mailing Telephone | 3606517491 |
| Mailing Fax Number | 3606517481 |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2020-01-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA61012220 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 3801 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11 Old Park Lane Rd, New Milford, CT 067762507 | 8603551149 |
| Street Address |
4420 76TH ST NE |
| City | MARYSVILLE |
| State | WA |
| Zip Code | 98270-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184613846 | Diane L Cashman | Nurse Practitioner | 4420 76th St Ne, Marysville, WA 98270-3726 | 2005-10-17 |
| 1972112506 | Ana Elisa Colmenero Gargari | Family Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2020-07-29 |
| 1952969701 | Patrick Schmees | Pharmacist | 4420 76th St Ne, Marysville, WA 98270-3726 | 2019-06-05 |
| 1083134944 | Si Jung Suh | Internal Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2017-06-22 |
| 1235591058 | Janna Lam Keenan | Pediatrics | 4420 76th St Ne, Marysville, WA 98270 | 2016-03-22 |
| 1467862581 | Jonathon Hodges | Family Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2014-04-28 |
| 1346675527 | Theressa Marie Hecht | Pharmacist | 4420 76th St Ne, Marysville, WA 98270-3726 | 2013-09-06 |
| 1285079822 | The Bartell Drug Co | Pharmacy | 4420 76th St Ne, Marysville, WA 98270-3726 | 2013-05-09 |
| 1265778849 | Brett Alan Schweizer | Internal Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2012-12-30 |
| 1205120805 | Wand Y Gan | Family Medicine | 4420 76th St Ne, Marysville, WA 98270-3726 | 2011-06-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730706631 | Amy Jean Tuengel | Massage Therapist | 4731 61st Ne, Marysville, WA 98270 | 2020-06-26 |
| 1821569534 | Andrew M Reid | Physical Therapist | Marysville Physical Therapy, 919 State Avenue Suite 101, Marysville, WA 98270 | 2018-12-07 |
| 1861989162 | Jenna Celine Schmidt | Student in an Organized Health Care Education/Training Program | Seamar Marysville Family Medicine Residency Program, 9710 State Ave, Marysville, WA 98270 | 2018-04-23 |
| 1497103162 | Kyoung Craddock | Registered Nurse | 5722 65th St Ne, Marysville, WA 98270 | 2016-06-02 |
| 1235553348 | Marysville School District | Speech-Language Pathologist | 4220 80th Street Ne, Marysville School District, Marysville, WA 98270 | 2014-02-10 |
| 1386085694 | Malgorzata Cassidy | Counselor | 4308 76th. St. Ne, Marysville, WA 98270 | 2013-07-15 |
| 1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
| 1508121161 | Tricia Nicole Davis | Pharmacy Technician | 6602 74th St Ne, Marysville, WA 98270 | 2012-07-10 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1598042459 | Jamie Rae Isaacson | Speech-Language Pathologist | 1820 Grove St., Marysville, WA 98270 | 2011-11-07 |
| Find all providers in zip 98270 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346870128 | Margaret A Macdonald | Physician Assistant | 140 Colemans Xing # 100, Marysville, OH 43040-7080 | 2020-01-22 |
| 1730747981 | Claire Blumer | Physician Assistant | 801 Alston St, Marysville, KS 66508-1542 | 2019-06-03 |
| 1730551722 | Rikki Pautz | Physician Assistant | 1600 Gratiot Blvd Ste 9, Marysville, MI 48040-1145 | 2015-10-29 |
| 1437437274 | Nishi Dhanota | Physician Assistant | 201 D St Ste G, Marysville, CA 95901-5957 | 2011-07-27 |
| 1235157967 | Peach Tree Healthcare | Physician Assistant | 724 5th St, Marysville, CA 95901-5646 | 2006-07-18 |
| 1629028485 | Angela Nicole Dare | Physician Assistant | 388 Damascus Rd Ste A, Marysville, OH 43040-5535 | 2006-05-11 |
| 1467074161 | Megan Culberson | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2020-05-15 |
| 1851923775 | Adrianna Deam | Physician Assistant | 500 London Ave, Marysville, OH 43040-5512 | 2020-02-08 |
| 1104483783 | Blake Beck | Physician Assistant | 726 4th St, Marysville, CA 95901-5656 | 2019-05-20 |
| 1891264107 | Carl Townsend Glissmeyer | Physician Assistant | 3955 156th St Ne, Marysville, WA 98271-4831 | 2018-11-15 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 98270 |
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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.