KATHERINE D. BUMSTEAD (NPI# 1639270762) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639270762 |
| Entity Type | Individual |
| Full Name | KATHERINE D. BUMSTEAD |
| Credential | MD |
| Practice Address |
4112 Harbour Pointe Blvd Sw Suite 100 Mukilteo WA 98275-5457 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 4253476330 |
| Mailing Telephone | 8663662983 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2015-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD00037555 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8245367 | 05 |
| Street Address |
4112 HARBOUR POINTE BLVD SW SUITE 100 |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-5457 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474738 | Chiyang Wu | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2005-08-16 |
| 1144662008 | Rolana O Mesias | Registered Nurse | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2013-07-20 |
| 1467728964 | Sabrina Middleton | Pediatrics | 4112 Harbour Pointe Blvd Sw, Ste 100, Mukilteo, WA 98275-5457 | 2012-03-29 |
| 1639481500 | Dean Nair | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2010-07-08 |
| 1669616363 | Providence Health & Services - Wa | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2009-04-24 |
| 1003050709 | Providence Health & Services - Wa | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite100, Mukilteo, WA 98275-5457 | 2009-04-24 |
| 1124279237 | Providence Health & Services - Wa | Internal Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2008-10-07 |
| 1700037199 | Providence Health & Services-wa | Clinic/Center | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2008-10-04 |
| 1366602468 | Poonam Rauniyar | Pediatrics | 4112 Harbour Pointe Blvd Sw, Ste 100, Mukilteo, WA 98275-5457 | 2008-06-11 |
| 1568644607 | Rajasri Dharani Palepu | Internal Medicine | 4112 Harbour Pointe Blvd Sw, Mukilteo, WA 98275-5457 | 2007-11-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1629150743 | Roger B. Olsson | Family Medicine | 11601 Harbour Pointe B Lvd, Suite 200, Mukilteo, WA 98275-5566 | 2006-10-19 |
| 1922037092 | Anchor Medical Clinic | Family Medicine | 8227 44th Ave West, Suite E, Mukilteo, WA 98275 | 2006-07-01 |
| 1760474738 | Chiyang Wu | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2005-08-16 |
| 1649702754 | Jason Hao | Family Medicine | 4410 106th St Sw, Mukilteo, WA 98275-4700 | 2017-03-28 |
| 1982912978 | Robert Arthur Anderson | Family Medicine | 610 5th St, Mukilteo, WA 98275-1504 | 2010-09-23 |
| 1639481500 | Dean Nair | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2010-07-08 |
| 1457684169 | Laura Renee Sobieck | Family Medicine | 4410 106th St Sw, Mukilteo, WA 98275-4700 | 2009-09-13 |
| 1720217011 | Sean H.s. Yang | Family Medicine | 4410 106th St Sw, Mukilteo, WA 98275-4700 | 2009-07-07 |
| 1669616363 | Providence Health & Services - Wa | Family Medicine | 4112 Harbour Pointe Blvd Sw, Suite 100, Mukilteo, WA 98275-5457 | 2009-04-24 |
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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.