MEDEA REVERELLY KARR (NPI# 1487719597) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487719597 |
| Entity Type | Individual |
| Full Name | MEDEA REVERELLY KARR |
| Credential | N.P. |
| Practice Address |
4520 Fauntleroy Way Sw Seattle WA 98126-2740 |
| Practice Telephone | 2067344981 |
| Practice Fax Number | 8887344981 |
| Mailing Telephone | 2067344981 |
| Mailing Fax Number | 8887344981 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2017-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30006987 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PTAN | G8876853 | 01 |
| Street Address |
4520 FAUNTLEROY WAY SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98126-2740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457841975 | Laura Michelle Cain | Nurse Practitioner | 4520 Fauntleroy Way Sw, Seattle, WA 98126 | 2018-05-10 |
| 1114469855 | Willow Fibromyalgia and Hypermobility Clinic Pllc | Nurse Practitioner | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2016-11-11 |
| 1417328865 | Buffy Pryke | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2015-10-12 |
| 1144624941 | Whitney Hunt | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2014-10-22 |
| 1093001455 | Kari Lynn Aspaas | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2011-06-23 |
| 1225320096 | Fauntleroy Chiropractic, P.s. | Chiropractor | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2011-05-11 |
| 1235352204 | Kate Elizabeth Anglin | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2007-04-10 |
| 1740313204 | Leah Rae Bowman | Massage Therapist | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2007-03-13 |
| 1790826873 | Bryan Scott Wiebe | Chiropractor | 4520 Fauntleroy Way Sw, Seattle, WA 98126-2740 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750926341 | Andre L Cherry | Counselor | Navos - West Seattle, 2600 Sw Holden St, Seattle, WA 98126 | 2019-11-07 |
| 1477071314 | Hailey Justine Long | Registered Nurse | 5444 29th Ave Sw, Seattle, WA 98126 | 2017-08-30 |
| 1952824153 | Margaret Jane Oliver | Behavior Technician | 7942 29th Ave Sw, Seattle, WA 98126 | 2017-07-19 |
| 1538610282 | Kathleen Unterreiner Licsw | Community/Behavioral Health | 3261 Sw Avalon Way, Apt 411, Seattle, WA 98126 | 2016-10-18 |
| 1689123507 | Omotade Adeola Mallum | Occupational Therapy Assistant | 9408 35th Ave Sw, Unit B, Seattle, WA 98126 | 2016-10-04 |
| 1598211732 | Christopher Shawn Osler | Physical Therapy Assistant | 7346 32nd Ave Sw, Seattle, WA 98126 | 2016-08-28 |
| 1871989368 | Sara Lynne Smith | Counselor | 5225 35th Avenue South West, Seattle, WA 98126 | 2015-04-10 |
| 1689083032 | Kristine Ellyn Highlander | Nurse Practitioner | 2600 Sw Holden St., Navos Inpatient Services, Seattle, WA 98126 | 2014-08-11 |
| 1346657814 | Buu Bui | Family Medicine | 4550 Fauntleroy Way Sw # Ms 206-01, Seattle, WA 98126 | 2014-07-16 |
| 1598015950 | Kimberly Pendergrass | Social Worker | 2600 S. W. Holden Street, Seattle, WA 98126 | 2012-09-13 |
| Find all providers in zip 98126 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291003 | Allison Walzer | Nurse Practitioner | 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 | 2020-10-01 |
| 1841800521 | Lauren Levesque | Nurse Practitioner | 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 | 2020-08-06 |
| 1225647381 | Donica Liwanag Badua | Nurse Practitioner | 819 Virginia St Unit 2605, Seattle, WA 98101-4430 | 2020-07-24 |
| 1326664145 | William Silas Nichols | Nurse Practitioner | 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 | 2020-06-17 |
| 1306485370 | Samuelle Genevievre Inevil | Nurse Practitioner | 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592 | 2019-12-23 |
| 1841838422 | Rachel Sasinowski Herrmann | Nurse Practitioner | 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 | 2019-12-14 |
| 1265085542 | Hyunjoo Hannah Bae | Nurse Practitioner | 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 | 2019-07-16 |
| 1699247874 | Brien Claes Barrett | Nurse Practitioner | 10315 Stone Ave N, Seattle, WA 98133-9419 | 2018-12-28 |
| 1730662057 | Heather Renee Grods | Nurse Practitioner | 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 | 2018-09-12 |
| 1639651086 | Amanda Matthews | Nurse Practitioner | 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 | 2018-09-02 |
| Find all providers in SEATTLE | ||||
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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.