KELLIE A BRADFIELD (NPI# 1659792430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659792430 |
| Entity Type | Individual |
| Full Name | KELLIE A BRADFIELD |
| Credential | ARNP |
| Practice Address |
7320 216th St Sw Ste 200 Edmonds WA 98026-8006 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 4256404900 |
| Practice Fax Number | 4256404919 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2020-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60460344 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7320 216TH ST SW STE 200 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98026-8006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447351622 | Michael Young-june Lee | Internal Medicine | 7320 216th St Sw Ste 200, Edmonds, WA 98026 | 2006-09-26 |
| 1588015085 | Megan Marie Caraway | Registered Nurse | 7320 216th St Sw Ste 200, Edmonds, WA 98026 | 2016-06-26 |
| 1699140707 | Kayla Trang | Pharmacist | 7320 216th St Sw Ste 200, Edmonds, WA 98026-8006 | 2015-12-01 |
| 1043526049 | Anita Chopra | Internal Medicine | 7320 216th St Sw Ste 200, Edmonds, WA 98026-8006 | 2010-08-27 |
| 1023242708 | Kyle J Benner | Psychiatry & Neurology | 7320 216th St Sw Ste 200, Edmonds, WA 98026-8006 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833526 | Enas Hamid Albar | Student in an Organized Health Care Education/Training Program | 7500 212th Street S.w., Suite 205, Edmonds, WA 98026 | 2020-08-26 |
| 1215579453 | Kailey Anne Matulich | Technician | 21630 84th Ave W, Edmonds, WA 98026 | 2019-10-09 |
| 1154962124 | Steven M Weible | Technician | 21630 84th Ave, Edmonds, WA 98026 | 2019-10-01 |
| 1053767293 | Hyo Kyung Kim | Pharmacist | 22618 Hwy 99 Ste 109, Edmonds, WA 98026 | 2016-05-06 |
| 1679947956 | Lucilyn Lumio | Occupational Therapist | 21008 76th Avenue W, Edmonds, WA 98026 | 2015-11-24 |
| 1669844205 | Kathleen Schmitt | Pharmacist | 21601 76th Ave West, Edmonds, WA 98026 | 2015-10-22 |
| 1689087967 | Ronald Paul Meagher | Anesthesiology | 7305 173rd St Sw, Edmonds, WA 98026 | 2014-06-04 |
| 1598194342 | Allison Alberton | Surgery | 7315 212th St Sw Ste 201, Edmonds, WA 98026 | 2013-11-02 |
| 1356681019 | Tekle Zewolday Eysadik | Registered Nurse | 8102 - 226 St Sw, Edmonds, WA 98026 | 2013-02-18 |
| 1447557087 | Diane Taylor | Counselor | 20903 70th Ave W., Edmonds, WA 98026 | 2011-02-17 |
| Find all providers in zip 98026 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819907 | Matthew Sean Krabbendam | Nurse Practitioner | 7315 212th St Sw Ste 207, Edmonds, WA 98026-7610 | 2020-10-21 |
| 1124533872 | Katie Jean Allen | Nurse Practitioner | 7315 212th St. Sw, Suite 101, Edmonds, WA 98026-7610 | 2017-12-04 |
| 1629405238 | Gayle Janette Debolt-richins | Nurse Practitioner | 720 6th Ave N, Edmonds, WA 98020-3008 | 2013-09-27 |
| 1093254518 | Asurupi Gurung | Nurse Practitioner | 7416 212th St Sw, Edmonds, WA 98026-7609 | 2017-02-16 |
| 1215485651 | Liliana Bogin | Nurse Practitioner | 7315 212th St Sw, Ste 101, Edmonds, WA 98026-7610 | 2016-09-14 |
| 1720450869 | Michael Lai | Nurse Practitioner | 7315 212th St Sw, Suite 101, Edmonds, WA 98026-7610 | 2015-10-28 |
| 1134597727 | Tiffany Marie Graham | Nurse Practitioner | 21600 Highway 99 Ste 260, Edmonds, WA 98026-8049 | 2015-09-13 |
| 1316282411 | Anne W Egleston Gerich | Nurse Practitioner | 21911 76th Ave W Ste 110, Edmonds, WA 98026-7918 | 2012-11-30 |
| 1366795908 | Terra Rose Mangum | Nurse Practitioner | 7315 212th St Sw, #207, Edmonds, WA 98026-7610 | 2012-10-19 |
| 1598011371 | Misook Joo | Nurse Practitioner | 22618 Highway 99 Ste 106, Edmonds, WA 98026-8395 | 2012-07-30 |
| Find all providers in EDMONDS | ||||
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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.