MS. NICOLE B BAZAR (NPI# 1356871404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356871404 |
| Entity Type | Individual |
| Full Name | MS. NICOLE B BAZAR |
| Credential | PA-C |
| Practice Address |
11511 Ne 10th St Bellevue WA 98004-8578 |
| Mailing Address |
4311 11th Ave Ne Ste 200 Seattle WA 98105-6367 |
| Practice Telephone | 4255023000 |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2018-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA60904861 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NPI | 1356871404 | 01 |
| Street Address |
11511 NE 10TH ST |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-8578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205811353 | Nicola Ullery | Registered Nurse | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2005-12-13 |
| 1083236400 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2020-05-07 |
| 1770142143 | Adrienne M Anderson | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004 | 2019-06-10 |
| 1992360929 | Anthony Decicco | Pharmacist | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2019-05-06 |
| 1184182677 | Eva Linh | Pharmacist | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2019-03-04 |
| 1801367818 | Jue Wang | Nurse Practitioner | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-12-17 |
| 1508331331 | Daniel Edward Putlak | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-10-08 |
| 1336628486 | Bradley Allen Johnson | Nurse Anesthetist, Certified Registered | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-08-09 |
| 1982182275 | Madeline Anne Berry | Social Worker | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-07-30 |
| 1053802074 | Mixayphone Bounvilay | Advanced Practice Midwife | 11511 Ne 10th St, Bellevue, WA 98004-8578 | 2018-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487066130 | Neon Corpuz | Physician Assistant | 4932 163rd Pl Se, Bellevue, WA 98006-4733 | 2014-05-29 |
| 1558601450 | Shannon Nicole Buster | Physician Assistant | 3503 Samson Way Ste 108, Bellevue, NE 68123-4303 | 2013-03-01 |
| 1407124407 | Natalya Vlaskin | Physician Assistant | 3900 Factoria Blvd Se Ste A, Bellevue, WA 98006-1234 | 2011-12-05 |
| 1831230911 | Nancy L Clark | Physician Assistant | 13033 Bellevue Redmond Rd, #110, Bellevue, WA 98005-2633 | 2007-02-09 |
| 1649326273 | Gary N Wellman | Physician Assistant | 301 116th Ave Se Ste 105, Suite #250, Bellevue, WA 98004-6482 | 2007-01-26 |
| 1164503314 | Bryna Dunaway Mccollum | Physician Assistant | 13231 Se 36th St Ste 110, Bellevue, WA 98006-7321 | 2006-10-17 |
| 1689201113 | Brenna Nicole Carlson | Physician Assistant | 2510 Bellevue Medical Center Dr Ste 145a, Bellevue, NE 68123-1556 | 2020-03-25 |
| 1861840332 | Miguel A Escalera | Physician Assistant | 1427 116th Ave Ne, Bellevue, WA 98004-3807 | 2016-05-25 |
| 1538516927 | Rachel I Drayer | Physician Assistant | 11511 Ne 10th St, Bellevue, WA 98004 | 2016-05-16 |
| 1962838516 | Jana Soltero | Physician Assistant | 10400 Ne 4th St Ste 2250, Bellevue, WA 98004-5186 | 2013-09-15 |
| Find all providers in BELLEVUE | ||||
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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.