GAYLE J KETZEL (NPI# 1710068010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710068010 |
| Entity Type | Individual |
| Full Name | GAYLE J KETZEL |
| Credential | ARNP |
| Practice Address |
131 3rd Ave N Ste 101 Edmonds WA 98020-3208 |
| Practice Telephone | 2065230589 |
| Practice Fax Number | 4259673260 |
| Mailing Telephone | 2065230589 |
| Mailing Fax Number | 4259673260 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2014-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30003557 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
131 3RD AVE N STE 101 |
| City | EDMONDS |
| State | WA |
| Zip Code | 98020-3208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538688189 | Jennifer Ducharme | Massage Therapist | 51 W. Dayton St 304, Edmonds, WA 98020 | 2017-09-14 |
| 1164959987 | Emily Grooms | Counselor | 406 Main St Ste 115c, Edmonds, WA 98020 | 2017-05-11 |
| 1427449255 | Victoria Janssen | Registered Nurse | 2225 95th Pl W, Edmonds, WA 98020 | 2015-02-16 |
| 1922496553 | Paktia Pharmacy LLC | Pharmacy | 315 5th Ave S Unit #c, Edmonds, WA 98020 | 2015-01-06 |
| 1770928491 | Sarah Campbell | Counselor | 10016 Edmonds Way, Ste C #185, Edmonds, WA 98020 | 2013-05-08 |
| 1568765170 | Sondra Beres | Marriage & Family Therapist | 300 Admiral Way Ste 203, Edmonds, WA 98020 | 2010-12-21 |
| 1649586777 | Kelly Druin Sievertson | Social Worker | 144 Railroad Ave, Suite 212, Edmonds, WA 98020 | 2010-08-26 |
| 1588817233 | Everard Jimenez Espinosa | Anesthesiology | 911-12th Ave. North, Edmonds, WA 98020 | 2008-10-28 |
| 1811109705 | Dawud Raamah | Dentist | 7935 216th St Sw # D, # D, Edmonds, WA 98020 | 2007-05-04 |
| 1437225430 | Edmonds Vision Center Ps Inc | Optometrist | 201 5th Ave S Ste 102, Edmonds, WA 98020 | 2006-11-28 |
| Find all providers in zip 98020 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376160861 | Clarity Behavioral Health | Nurse Practitioner | 7704 193rd Pl Sw, Edmonds, WA 98026-6234 | 2020-06-30 |
| 1093246928 | Ebrima Bangura | Nurse Practitioner | 8123 236th St Sw, Apt N302, Edmonds, WA 98026-9207 | 2017-03-22 |
| 1548326176 | Bernadine Kay Flynn | Nurse Practitioner | 300 Admiral Way, Suite 204, Edmonds, WA 98020-7230 | 2006-12-28 |
| 1235466517 | Tatiana Sadak | Nurse Practitioner | 110 James St, Ste 104, Edmonds, WA 98020-8430 | 2009-11-07 |
| 1467692756 | Heather O Andersen | Nurse Practitioner | 21601 76th Ave W, Edmonds, WA 98026-7507 | 2009-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720139 | Youwen Hu | Nurse Practitioner | 10824 Se 170th St Unit A304, Renton, WA 98055-5950 | 2020-11-05 |
| 1831799048 | Sarah Louise Weerheim | Nurse Practitioner | 2727 Hollycroft St Ste 110v, Gig Harbor, WA 98335-1371 | 2020-10-27 |
| 1619576774 | Bethany Heath Arnp-pmhnp Pllc | Nurse Practitioner | 1224 West Riverside, Apt 408, Spokane, WA 99201 | 2020-10-20 |
| 1437761988 | Hollye Hahn | Nurse Practitioner | 1012 Nw Longview Dr, Oak Harbor, WA 98277-8947 | 2020-08-17 |
| 1386254290 | Candie M. Wellwood | Nurse Practitioner | 9908 S Sherman Rd, Spokane, WA 99224-9811 | 2020-08-05 |
| 1104434679 | Progressive Psychiatric Consultant | Nurse Practitioner | 170 S Lincoln St # 150, Spokane, WA 99201-4443 | 2020-07-21 |
| 1235747213 | Peaceful Coexistence, LLC | Nurse Practitioner | 4730 University Way Ne Ste 104, Seattle, WA 98105-4424 | 2020-07-16 |
| 1134747066 | New Dawn Psychotherapy Pllc | Nurse Practitioner | 2223 Benson Rd S Apt D102, Renton, WA 98055-8837 | 2020-07-07 |
| 1174140677 | Rachael Davison | Nurse Practitioner | 22525 Se 64th Pl Ste 228, Issaquah, WA 98027-5383 | 2020-06-30 |
| 1326668856 | Healing Heart Therapeutic Services | Nurse Practitioner | 1915 2nd Ave Apt 2212, Seattle, WA 98101-3165 | 2020-04-24 |
| Find all providers with the same taxonomy | ||||
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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.