KRIS COLLETTO (NPI# 1629129523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629129523 |
| Entity Type | Individual |
| Full Name | KRIS COLLETTO |
| Credential | M.D. |
| Practice Address |
10516 Silverdale Way Nw Ste 104 Silverdale WA 98383-8745 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 3606923950 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2019-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
MD00039202 | WA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | MD00039202 | WA | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | BC5836032 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8269276 | 05 |
| Street Address |
10516 SILVERDALE WAY NW STE 104 |
| City | SILVERDALE |
| State | WA |
| Zip Code | 98383-8745 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356408678 | Patricia S. Daly | Optometrist | 10516 Silverdale Way Nw Ste 104, Silverdale, WA 98383-8745 | 2007-01-03 |
| 1730228404 | Kirsten J Bouma | Speech-Language Pathologist | 10516 Silverdale Way Nw Ste 104, Silverdale, WA 98383-8745 | 2007-02-06 |
| 1114079928 | Lindsey K. Sewell | Optometrist | 10516 Silverdale Way Nw Ste 104, Silverdale, WA 98383-8745 | 2007-01-18 |
| 1538211446 | James A Stewart | Physician Assistant | 10516 Silverdale Way Nw Ste 104, Silverdale, WA 98383-8745 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497397426 | Chaise Marie Gies | Student in an Organized Health Care Education/Training Program | 2041 Nw Myhre Rd, Suite 311, Silverdale, WA 98383 | 2019-10-10 |
| 1700432762 | Myles Sorokovsky | Physical Medicine & Rehabilitation | 2400 Mw Myhre Rd Ste 101, Silverdale, WA 98383 | 2019-08-15 |
| 1114485521 | Sarah Schiavone | Pharmacist | Silverdale Medical Center, 10452 Silverdale Way Nw, Silverdale, WA 98383 | 2019-03-05 |
| 1609385459 | Emily Ann Yee | Behavior Technician | 3100 Bucklin Hill Rd Suite 215, Silverdale, WA 98383 | 2017-09-25 |
| 1295108694 | Washington Dental Corporation | Dentist | 11065 Pacific Crest Place Nw, Suite B-105, Silverdale, WA 98383 | 2015-11-06 |
| 1780070888 | Kristen Bradley | Counselor | 2819 Nw Kitsap Place, Suite 2b, Silverdale, WA 98383 | 2015-04-15 |
| 1326448978 | Deborah Ann Nielson | Counselor | 10513 Silverdale Way Nw Ste 110, Silverdale, WA 98383 | 2014-09-02 |
| 1740610526 | Tallison Group, Inc | Counselor | 9119 Ridgetop Blvd, Suite #220, Silverdale, WA 98383 | 2013-11-15 |
| 1689000838 | Denise C Fairchild | Hearing Instrument Specialist | 2845 Ne Kitsap Pl, Silverdale, WA 98383 | 2013-09-19 |
| 1437459393 | Siegfried Ariel Naumann | Dentist | 3511 Nw Bucklin Hill Rd, Silverdale, WA 98383 | 2010-10-26 |
| Find all providers in zip 98383 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316422454 | Cmdpn Medical Group of Washington, P.C. | Emergency Medicine | 707 West Main Ave. Ste B1, Pmb 117, Spokane, WA 99201 | 2018-09-25 |
| 1740713627 | Anthony Warfield | Emergency Medicine | 120 Republican St, #404, Seattle, WA 98109-4745 | 2017-04-06 |
| 1083877559 | Lisa Marie Wilson | Emergency Medicine | 925 Seneca St., Mailstop H6-ed, Virginia Mason Medical Center, Seattle, WA 98101 | 2008-07-05 |
| 1467574863 | Mark Urmanski | Emergency Medicine | 3700 Martin Way E, Suite 108, Olympia, WA 98506-5052 | 2007-04-04 |
| 1790805190 | Cascade Urgent Care, Inc., Ps | Emergency Medicine | 1413 S 348th Street, L106, Federal Way, WA 98003-8373 | 2007-03-30 |
| 1508952060 | John R. Knudsen | Emergency Medicine | 6046 Portal Way, Ste 103, Ferndale, WA 98248-7829 | 2006-10-04 |
| 1376574160 | Jeffrey Philip Roger | Emergency Medicine | 2005 Nw Sammamish Road, Issaquah, WA 98027 | 2006-07-06 |
| 1750329777 | Stephani J. Amstadter | Emergency Medicine | 5920 - 100th St. Sw #31, Lakewood, WA 98499-2751 | 2006-06-03 |
| 1922059187 | Stephen E Pohl | Emergency Medicine | Hpo 1, Boone Road, Navy Hospital, Bremerton, WA 98312 | 2006-05-13 |
| 1871569012 | Steven Temerlin | Emergency Medicine | 1717 South J Street, Tacoma, WA 98405-4933 | 2006-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SILVERDALE |
| Zip Code | 98383 |
Please comment or provide details below to improve the information on KRIS COLLETTO.
| 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.