GINA MARIE KETOLA (NPI# 1588820039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588820039 |
| Entity Type | Individual |
| Full Name | GINA MARIE KETOLA |
| Credential | LDO |
| Practice Address |
6505 Roosevelt Way Ne Seattle WA 98115-6626 |
| Practice Telephone | 2065246289 |
| Practice Fax Number | 2065246289 |
| Mailing Telephone | 2065246289 |
| Mailing Fax Number | 2065246289 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
00001886 | WA | Eye and Vision Services Providers |
| Street Address |
6505 ROOSEVELT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98115-6626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366079972 | Aaron Hui | Oral & Maxillofacial Surgery | 6222 Ne 74th Street Building 25, 2nd Floor, Seattle, WA 98115 | 2020-03-24 |
| 1396387346 | Catherine Erickson | Social Worker | 6527 - 21st Ave Ne, Suite 4, Seattle, WA 98115 | 2019-10-10 |
| 1275003857 | Margaret Ellen Haber | Social Worker | 2400 Ne 95th Street, Seattle, WA 98115 | 2018-11-27 |
| 1528584513 | Katharine Huntington Poinier | Registered Nurse | 8521 5th Avenue Ne, Seattle, WA 98115 | 2017-08-21 |
| 1750802229 | Cody David Pollock | Student in an Organized Health Care Education/Training Program | 1959 Northeast Pacific Street, Box 357115 University of Washington Medical Center, Seattle, WA 98115 | 2017-07-05 |
| 1144759416 | Amber Padron | Behavior Technician | 6537 Oswego Place Ne, Apt 8, Seattle, WA 98115 | 2017-06-08 |
| 1639603509 | Matthew Vanwinkle | Physical Therapist | 3290 Ne 65th Street, Unit 101, Seattle, WA 98115 | 2017-04-17 |
| 1538607650 | Karen Van Vuren | Registered Nurse | 204 Ne 94h St, Seattle, WA 98115 | 2017-02-09 |
| 1992251599 | Anders Kobbevik | Massage Therapist | 1200 Ne 65th Street, Seattle, WA 98115 | 2016-09-01 |
| 1295288181 | Brandon Marsicek | Counselor | 419 Ne 71st St Apt 407, Seattle, WA 98115 | 2016-07-27 |
| Find all providers in zip 98115 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477115863 | Nicole Ann Hanby | Technician/Technologist | 4325 University Way Ne, Seattle, WA 98105-5808 | 2019-07-05 |
| 1295105849 | National Vision, Inc. | Technician/Technologist | 4609 14th Ave Nw, Ste 112, Seattle, WA 98107-4619 | 2015-09-25 |
| 1780027672 | Merry Y Gonzales | Technician/Technologist | 1101a Boylston Ave, Seattle, WA 98101-2818 | 2013-04-10 |
| 1982971172 | Michele Bayle | Technician/Technologist | 4854 Rainier Ave S, Seattle, WA 98118-1742 | 2011-11-16 |
| 1588965412 | Patricia S Hoffman | Technician/Technologist | 844 Ne Northgate Way, Seattle, WA 98125 | 2010-11-09 |
| 1376760157 | Richard Sands | Technician/Technologist | 4128 California Ave Sw, Seattle, WA 98116-4102 | 2007-04-20 |
| 1275661647 | Glenn A Charles | Technician/Technologist | 8032 35th Ave Ne, Seattle, WA 98115-4815 | 2007-02-28 |
| 1275668949 | Paul David | Technician/Technologist | 618 Olive Way, Seattle, WA 98101-1717 | 2007-02-22 |
| 1528337540 | Bernard Vaughan Stewart | Technician/Technologist | 801 Broadway, Seattle, WA 98122 | 2011-12-20 |
| 1043486905 | Martins Fine Eyewear Inc | Technician/Technologist | 1536 N 115th St, #110, Seattle, WA 98133-8400 | 2008-05-01 |
| Find all providers in SEATTLE | ||||
Please comment or provide details below to improve the information on GINA MARIE KETOLA.
| 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.