KERRY ELLEN MEYER (NPI# 1811132178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811132178 |
| Entity Type | Individual |
| Full Name | KERRY ELLEN MEYER |
| Other Name | KERRY ELLEN PETRUCCI |
| Credential | ARNP |
| Practice Address |
4033 Talbot Rd S Ste 570 Renton WA 98055-5772 |
| Mailing Address |
Po Box 34876 Seattle WA 98124-1876 |
| Practice Telephone | 4256565400 |
| Practice Fax Number | 4256565079 |
| Mailing Telephone | 4256565412 |
| Mailing Fax Number | 4256564096 |
| Enumeration Date | 2008-12-15 |
| Last Update Date | 2012-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP30003229 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376014514 | Kerry A. Meyer | Nurse Practitioner | 53 Church St Unit 14, Kingston, NH 03848-3072 | 2018-12-16 |
| Street Address |
4033 TALBOT RD S STE 570 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053312769 | Frank P Rudey | Dentist | 4033 Talbot Rd S, Renton, WA 98055-5700 | 2005-08-03 |
| 1699173856 | Olivia Nicole Corrado | Advanced Practice Midwife | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2014-12-19 |
| 1457758054 | Hanna M Filitovich | Physician Assistant | 4033 Talbot Rd S, Suite 500, Renton, WA 98055-5772 | 2014-11-25 |
| 1962832519 | Darcy Anne King | Advanced Practice Midwife | 4033 Talbot Rd S, Suite 450, Renton, WA 98055-5772 | 2013-11-18 |
| 1033546718 | Aliscia Rose Lindeke | Advanced Practice Midwife | 4033 Talbot Rd S, Ste 430, Renton, WA 98055-5772 | 2013-09-26 |
| 1407190663 | Sarah Leola Benrath | Nurse Practitioner | 4033 Talbot Rd S, Suite 200, Renton, WA 98055-5772 | 2012-11-11 |
| 1629323472 | Lierra Sobolevskiy | Audiologist | 4033 Talbot Rd S, Ste 540, Renton, WA 98055-5772 | 2012-07-18 |
| 1477843084 | Edward Norman Fisher | Pediatrics | 4033 Talbot Rd S, Medical Arts Center, Suite 200, Renton, WA 98055-5772 | 2011-04-15 |
| 1518270990 | Michael P Galvin | Physician Assistant | 4033 Talbot Rd S, Suite 500, Renton, WA 98055-5772 | 2010-07-14 |
| 1184936429 | Kristen M Oulton | Audiologist | 4033 Talbot Rd S, Ste 540, Renton, WA 98055-5772 | 2010-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407485287 | Angela S Klementson | Nurse Practitioner | 606 Oakesdale Ave Sw Ste 200, Renton, WA 98057-5227 | 2020-04-03 |
| 1932687704 | Yellow Brick Clinic Pllc | Nurse Practitioner | 1800 Dayton Ave Ne, Renton, WA 98056-2715 | 2018-08-02 |
| 1396188686 | Pritha Thomas | Nurse Practitioner | 375 Nile Pl Ne, Renton, WA 98059-4889 | 2013-04-17 |
| 1033288600 | Joyce Faith Buchanan | Nurse Practitioner | 3001 Ne 4th St, Renton, WA 98056-4122 | 2006-11-07 |
| 1902422918 | Ashley Nicole Davis | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2020-06-25 |
| 1649819087 | Courtney Redus Rowland | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2020-01-02 |
| 1013553841 | Vanessa Marie Rawlings | Nurse Practitioner | 4300 Talbot Rd S, Renton, WA 98055-6238 | 2019-11-27 |
| 1588224711 | Mercy Mugo | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-06-19 |
| 1194200667 | Jamie Lea Meyer | Nurse Practitioner | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | 2018-10-01 |
| 1114400330 | Rani Setiawan | Nurse Practitioner | 400 S 43rd St, Renton, WA 98055-5714 | 2018-09-13 |
| Find all providers in RENTON | ||||
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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.