KAISER FOUNDATION HEALTH PLAN OF WASHINGTON (NPI# 1386778975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386778975 |
| Entity Type | Organization |
| Organization Name | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON |
| Other Organization Name | RENTON MEDICAL CENTER |
| Practice Address |
275 Bronson Way Ne Renton WA 98056-4030 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 4252352855 |
| Practice Fax Number | 4252352876 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2017-02-27 |
| Authorized Official Name | KATHY BEERY (DIRECTOR) |
| Authorized Official Telephone | 2066301818 |
| Is Organization Subpart | Y |
| Parent Organization Name | GROUP HEALTH COOPERATIVE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
CF00000333 | WA | Suppliers |
| Y | 333600000X | Pharmacy | CF00000333 | WA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | NCPDP | 4906030 | 01 |
| Other Name | Type Code |
|---|---|
| Renton Medical Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917074 | Kaiser Foundation Health Plan of Washington | Family Medicine | 5216 Point Fosdick Dr # 102, Gig Harbor, WA 98335-0037 | 2020-06-23 |
| 1811511454 | Kaiser Foundation Health Plan of Washington | Pharmacy | 189 Telegraph Rd, Bellingham, WA 98226-8079 | 2020-05-29 |
| 1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1447897707 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1401 Nw 46th Street, 5th Floor, Seattle, WA 98107 | 2019-12-05 |
| 1891350377 | Kaiser Foundation Health Plan of Washington | Family Medicine | 210 9th Ave N, Seattle, WA 98109-5120 | 2019-05-09 |
| 1942591532 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 5821 S Sprague Court, Tacoma, WA 98409 | 2011-04-29 |
| 1124264577 | Kaiser Foundation Health Plan of Washington | Family Medicine | 2715 Naches Ave Sw, Gsw-a1n-02, Renton, WA 98057-2627 | 2009-01-06 |
| 1235263245 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1420 5th Ave., Suite 375, Seattle, WA 98101 | 2007-03-15 |
| 1891829644 | Kaiser Foundation Health Plan of Washington | Pharmacy | 700 N Lilly Road, Olympia, WA 98056-5196 | 2007-03-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON | 601 Union St #3100, Seattle, WA 98101 |
| Washington State Corporations | KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC. | 601 Union St, Ste 3100, Seattle, WA 98101-2341 |
| Street Address |
275 BRONSON WAY NE |
| City | RENTON |
| State | WA |
| Zip Code | 98056-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760541734 | Debra Susan Fetherston | Internal Medicine | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2006-12-06 |
| 1245793645 | Martin Tran | Pharmacist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2019-04-11 |
| 1659741304 | Jessica Mt Dubose | Social Worker | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2015-10-06 |
| 1477936573 | Sarah Elizabeth Fernandez | Speech-Language Pathologist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2015-07-07 |
| 1083019699 | Erica G Zimmerman | Dietitian, Registered | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2014-10-24 |
| 1760882484 | Rory David Cavaille | Physician Assistant | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2014-08-29 |
| 1982967733 | Amy Chen | Internal Medicine | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2012-06-18 |
| 1306103874 | Yara Ameen Nouisser | Pharmacist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2012-04-20 |
| 1124313846 | Pragya Priyadarshini Tripathi | Hospitalist | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2011-06-10 |
| 1114218187 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 275 Bronson Way Ne, Renton, WA 98056-4030 | 2011-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144710922 | Healthpoint | Pharmacy | 947 Powell Ave Sw Ste B, Renton, WA 98057-2975 | 2018-05-16 |
| 1568912004 | Himerx Pharmacy LLC | Pharmacy | 3901 Ne 4th St Ste 102a, Renton, WA 98056-4100 | 2016-10-08 |
| 1366709313 | Healthpoint | Pharmacy | 947 Powell Ave Sw, Renton, WA 98057-2975 | 2012-04-16 |
| 1598865834 | Maxor National Pharmacy Services LLC | Pharmacy | 601 S Carr Rd Ste 100, Renton, WA 98055-5802 | 2006-09-25 |
| 1801817861 | Reddi Enterprises Inc | Pharmacy | 1412 Sw 43rd St Ste 120, Renton, WA 98057-4803 | 2006-07-22 |
| 1922656719 | Christopher Burgess | Pharmacy | 2715 Naches Ave Sw, Renton, WA 98057-2627 | 2019-08-27 |
| 1699134650 | Dynamic Rx Labs LLC | Pharmacy | 923 Powell Ave Sw, Suite 150, Renton, WA 98057-2941 | 2016-02-18 |
| 1679862189 | Public Hospital District 1 of King County | Pharmacy | 400 S 43rd St, Renton, WA 98055-5714 | 2011-04-05 |
| 1063524940 | The Bartell Drug Co | Pharmacy | 4700 Ne 4th St, Renton, WA 98059-4800 | 2006-08-31 |
| 1316973571 | Fred Meyer Stores Inc | Pharmacy | 365 Renton Center Way Sw, Renton, WA 98057-2324 | 2006-06-22 |
| Find all providers in RENTON | ||||
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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.