KARIN MISAO IDE (NPI# 1770508152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770508152 |
| Entity Type | Individual |
| Full Name | KARIN MISAO IDE |
| Credential | ARNP |
| Practice Address |
6100 Ne Fourth Plain Blvd Vancouver WA 98661-6830 |
| Mailing Address |
Po Box 1588 Vancouver WA 98668-1588 |
| Practice Telephone | 3608917300 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
AP30006367 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9643560 | 05 |
| Street Address |
6100 NE FOURTH PLAIN BLVD |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-6830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230028 | Kathryn Ann Willits | Nurse Practitioner | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2005-07-22 |
| 1447880737 | Scott G Henke | Counselor | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2020-01-25 |
| 1871961680 | Sea-mar Community Health Center | Family Medicine | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2015-09-10 |
| 1831583863 | Benajmin Huckett | Nurse Practitioner | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2015-03-27 |
| 1275925372 | Keely Vrsalovich | Nurse Practitioner | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2015-02-26 |
| 1871788711 | Diana Charese Corson | Advanced Practice Midwife | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2007-09-13 |
| 1154346526 | Kay Campbell | Advanced Practice Midwife | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2006-07-13 |
| 1568487932 | Lenorah Rae Cottrell | Nurse Practitioner | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2006-07-13 |
| 1750314365 | Jean M Maunder | Advanced Practice Midwife | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2006-07-08 |
| 1073546685 | Susan M Firman | Advanced Practice Midwife | 6100 Ne Fourth Plain Blvd, Vancouver, WA 98661-6830 | 2006-07-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366778367 | Elissa Lee Pocze | Nurse Practitioner | 700 Ne 87th Ave Ste 355, Vancouver, WA 98664-4896 | 2009-10-26 |
| 1932370756 | Joanne M Wallis | Nurse Practitioner | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2008-03-19 |
| 1912432584 | Jacqueline Baker | Nurse Practitioner | 7410 Delaware Ln, Vancouver, WA 98664-1408 | 2017-04-20 |
| 1457747586 | Karis Kerbs | Nurse Practitioner | 2121 Ne 139th St Ste 200, Vancouver, WA 98686-2316 | 2015-04-15 |
| 1588941397 | Elizabeth Barr | Nurse Practitioner | 2215 Broadway St, Vancouver, WA 98663-3226 | 2011-11-08 |
| 1306942396 | Laura Lynn Towers | Nurse Practitioner | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881200509 | Megan Maureen Bauer | Nurse Practitioner | 6057 California Ave Sw, Seattle, WA 98136-1612 | 2020-09-17 |
| 1265077960 | Hannah Thornton | Nurse Practitioner | 4800 Sand Point Way Ne # Fa.2114, Seattle, WA 98105-3901 | 2019-11-17 |
| 1598319683 | Jennifer Lynn Bryson | Nurse Practitioner | 8738 Falls Ave Se, Snoqualmie, WA 98065-9610 | 2019-07-28 |
| 1013494434 | Lindsay Bascom Brown | Nurse Practitioner | 12815 120th Ave Ne Ste A, Kirkland, WA 98034-3003 | 2018-07-27 |
| 1518475631 | Sarah Remorca Agtarap | Nurse Practitioner | 175 1st Pl Nw Ste A, Issaquah, WA 98027-2746 | 2018-01-11 |
| 1518470137 | Bear Creek Pediatrics | Nurse Practitioner | 105 W 8th Ave Ste 7035, Spokane, WA 99204-2313 | 2017-11-06 |
| 1871005298 | Alexis Anne Abel | Nurse Practitioner | 15650 Ne 24th St Ste C, Bellevue, WA 98008-2460 | 2017-10-25 |
| 1326569021 | Spencer Rorie Crihfield | Nurse Practitioner | Po Box 1452, Pasco, WA 99301-1223 | 2017-07-03 |
| 1912427386 | Melinda Ehren Kratzig | Nurse Practitioner | 4800 Sand Point Way Ne # Msoa9220, Seattle, WA 98105-3901 | 2017-06-26 |
| 1245766880 | Jennifer Jean Baker | Nurse Practitioner | 904 7th Ave Fl 3, Seattle, WA 98104-1132 | 2017-05-02 |
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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.