MS. KATHLEEN ELIZAETH NELSON (NPI# 1689966582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689966582 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN ELIZAETH NELSON |
| Credential | AA |
| Practice Address |
614 Peterson Rd Ste 200 Burlington WA 98233-2606 |
| Practice Telephone | 3608563054 |
| Practice Fax Number | 3608563065 |
| Mailing Telephone | 3608563054 |
| Mailing Fax Number | 3608563065 |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2020-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 175T00000X | Peer Specialist | CG602205094 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457617003 | Kathleen Meaghan Nelson | Nurse Practitioner | 1609 Whippoorwill Trce, Chesapeake, VA 23322-1275 | 2012-04-09 |
| 1457561284 | Kathleen Nelson | Music Therapist | 11410 Sunset Trl, Plymouth, MN 55441-6065 | 2007-05-23 |
| 1386790475 | Kathleen Loud Nelson | Speech-Language Pathologist | 6151 E Thunder River Dr, Tucson, AZ 85706-9746 | 2007-01-25 |
| 1932146792 | Kathleen Nelson | Nurse Practitioner | 406 5th St, Fontanelle, IA 50846-8308 | 2006-06-01 |
| 1700849288 | Kathleen Louise Nelson | Licensed Practical Nurse | 6783 Bethel Rd, Pittsville, WI 54466 | 2006-04-07 |
| 1699304360 | Kathleen Johanna Nelson | Family Medicine | 455 Toll Gate Rd, Warwick, RI 02886-2770 | 2020-04-05 |
| 1417406877 | Kathleen Nelson | Counselor | 417 Liberty St, Springfield, MA 01104-3736 | 2016-09-27 |
| 1033529128 | Kathleen Nelson | Social Worker | 415 E Rosser Ave, Suite 113, Bismarck, ND 58501-4058 | 2014-04-29 |
| 1639422488 | Kathleen Nelson | Social Worker | 2350 Washtenaw Ave, Ste 6b, Ann Arbor, MI 48104-4532 | 2012-10-17 |
| 1831452754 | Kathleen Anne Nelson | Speech-Language Pathologist | 2825 Burnet Ave, Cincinnati, OH 45219-2426 | 2012-06-18 |
| Street Address |
614 PETERSON RD STE 200 |
| City | BURLINGTON |
| State | WA |
| Zip Code | 98233-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558417816 | Juleen Perusek | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2007-01-26 |
| 1689295784 | Angela May Welch | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2020-04-29 |
| 1336781764 | Zowie Aleshire | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2019-10-17 |
| 1477102465 | Julie Ann Wenzel | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2019-09-11 |
| 1922657170 | Abby Joy Smith | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2019-09-10 |
| 1912556218 | Allison Walter | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2019-09-09 |
| 1073165585 | Aida Olavario Hartshorn | Case Manager/Care Coordinator | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2019-07-15 |
| 1750851010 | Joshua Moshe Culp | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2018-11-29 |
| 1952826885 | Melinda Mclean-stone | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2017-08-11 |
| 1730602970 | Justin Kooistra | Counselor | 614 Peterson Rd Ste 200, Burlington, WA 98233-2606 | 2017-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891312872 | Ellen Barton | Counselor | Skagit Community Detox, 201 Lila Lane, Burlington, WA 98233 | 2020-06-25 |
| 1134611718 | Steven Anthony Rickards | Hearing Instrument Specialist | 218 Rio Vista Avenue, Burlington, WA 98233 | 2018-05-31 |
| 1770007817 | Laura Ellen Defreese | Health Educator | 11768 Westar Lane, Suite A, Burlington, WA 98233 | 2017-07-31 |
| 1588036339 | Teresa Tweed | Specialist | 121 Spruce Street, Burlington, WA 98233 | 2015-10-20 |
| 1639582950 | Rebecca L Neff | Registered Nurse | 927 E. Fairhaven Ave., Burlington, WA 98233 | 2014-06-04 |
| 1982041356 | Marion Hernon | Dentist | 120 E George Hopper Rd Ste 100, Burlington, WA 98233 | 2013-05-25 |
| 1033450804 | Aaron P Fox | Counselor | 127 E. Fairhaven Ave., Burlington, WA 98233 | 2013-03-04 |
| 1629332895 | North Cascade Pain Management Ps | Anesthesiology | 340 E George Hopper Rd, Suite #1, Burlington, WA 98233 | 2012-07-02 |
| 1356618151 | Sandra L Fletcher | Pharmacist | 1725 S.burlington Boulevard, Burlington, WA 98233 | 2011-11-22 |
| 1528343258 | Andria Anita Bloom | Family Medicine | 1162 S. Burlington Boulevard, Burlington, WA 98233 | 2011-10-13 |
| Find all providers in zip 98233 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417449083 | Gerald Michael Ottenwalder | Peer Specialist | 420 Kennedy St, Burlington, KS 66839-1120 | 2018-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992304703 | Corina Thornton | Peer Specialist | Arrow Lakes Street, Nespelem, WA 99155-0304 | 2020-10-22 |
| 1578161402 | Yavonnie Leslie Griggs | Peer Specialist | 3285 Ferguson Ln Sw, Tumwater, Wa 98512, Tumwater, WA 98512 | 2020-10-13 |
| 1306454061 | Ashley D Vinson-harris | Peer Specialist | 116 S 339th Cir, Federal Way, WA 98003-4537 | 2020-07-20 |
| 1184240301 | Aleric Hughes | Peer Specialist | 1200 Sw Holden St, Seattle, WA 98106-2054 | 2020-06-23 |
| 1013533876 | Alyssa Camille Meaker | Peer Specialist | 4350 Cordata Pkwy Ste 220, Bellingham, WA 98226-8278 | 2020-06-17 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1558982058 | Edward Thomas Gollihugh | Peer Specialist | 721 Fawcett Ave Ste 204, Tacoma, WA 98402-5502 | 2020-05-06 |
| 1295356483 | Yvette Marie Sampson | Peer Specialist | Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 | 2020-04-29 |
| 1043856123 | Jayde Wailani Albright | Peer Specialist | 5920 N Calispel St, Spokane, WA 99205-6214 | 2019-11-23 |
| 1033755244 | Willapa Behavioral Health | Peer Specialist | 2204 Pacific Ave. N., Long Beach, WA 98631 | 2019-11-22 |
| Find all providers with the same taxonomy | ||||
| City | BURLINGTON |
| Zip Code | 98233 |
Please comment or provide details below to improve the information on MS. KATHLEEN ELIZAETH NELSON.
| 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.