KIRSTEN ELIZABETH WICKSTROM (NPI# 1821623257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821623257 |
| Entity Type | Individual |
| Full Name | KIRSTEN ELIZABETH WICKSTROM |
| Practice Address |
500 17th Ave Seattle WA 98122-5711 |
| Practice Telephone | 2063202000 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
RN60465203 | WA | Nursing Service Providers |
| Street Address |
500 17TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122-5711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255331377 | Dennis Chong | Physical Medicine & Rehabilitation | 500 17th Ave, Wound Healing Center, Seattle, WA 98122-5711 | 2005-07-29 |
| 1922613074 | Caitlin Vosburgh | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-09-14 |
| 1942819404 | Elias Mounir Elias | Neurological Surgery | 500 17th Ave, Seattle, WA 98122-5711 | 2020-07-29 |
| 1164057360 | Christine Ann Schmer | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-03-08 |
| 1508499039 | Hodo Mohamud | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-02-12 |
| 1639709728 | Marian J Dobles | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2020-01-17 |
| 1659910008 | Ayrron Sisley | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2020-01-02 |
| 1639718687 | Monica Ste Marie | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2019-12-21 |
| 1124666268 | Michael Kwik | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2019-12-19 |
| 1780221630 | James Kent | Pharmacist | 500 17th Ave, Seattle, WA 98122-5711 | 2019-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235600651 | Linnea Hope Briggs | Registered Nurse | 1130 N 90th St, Seattle, WA 98103-4002 | 2018-12-10 |
| 1134243355 | Charles Mark Peterson | Registered Nurse | 830 14th Ave, Seattle, WA 98122-4508 | 2007-03-16 |
| 1457964587 | Julie Elizabeth Suter | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-08-28 |
| 1700409430 | Mikka Marun Uehara | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-7263 | 2020-05-28 |
| 1962036939 | Landi M Johnston | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2020-02-27 |
| 1699308239 | Jessica Myendu Kabala | Registered Nurse | 325 9th Ave, Seattle, WA 98104-2420 | 2020-02-21 |
| 1508499039 | Hodo Mohamud | Registered Nurse | 500 17th Ave, Seattle, WA 98122-5711 | 2020-02-12 |
| 1376181099 | Hermona K Tekeste | Registered Nurse | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2019-12-12 |
| 1164663613 | Catherine M Kim | Registered Nurse | 7107 Greenwood Ave N, Suite B, Seattle, WA 98103-5069 | 2009-03-12 |
| 1871743906 | Angela Marie Mathis | Registered Nurse | 500 19th Ave E, Seattle, WA 98112-4007 | 2008-09-25 |
| Find all providers in SEATTLE | ||||
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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.