VERNAN I ATIENZA (NPI# 1851402440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851402440 |
| Entity Type | Individual |
| Full Name | VERNAN I ATIENZA |
| Practice Address |
11521 Ne 128th St Suite 100 Kirkland WA 98034-4317 |
| Mailing Address |
Po Box 34036 Seattle WA 98124-1036 |
| Practice Telephone | 4258996800 |
| Practice Fax Number | 4258996808 |
| Mailing Telephone | 4258993292 |
| Mailing Fax Number | 4258993269 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2009-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MD00041820 | WA | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
036107853 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036107853 | 05 | |
| WA | 8508798 | 05 |
| Street Address |
11521 NE 128TH ST SUITE 100 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-4317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487657003 | Ryan Michael Culala | Pharmacist | 11521 Ne 128th St, Ste 100, Kirkland, WA 98034-4317 | 2005-05-27 |
| 1164876322 | Evergreenhealth | Clinic/Center | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2016-04-14 |
| 1407105463 | Ashley Rohde | Nurse Practitioner | 11521 Ne 128th St, Kirkland, WA 98034-4317 | 2012-09-06 |
| 1760775019 | Susan M Learn | Nurse Practitioner | 11521 Ne 128th St, #100, Kirkland, WA 98034-4317 | 2011-05-19 |
| 1518298835 | Monika Rajpal | Pharmacist | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2010-01-26 |
| 1548350713 | King County Public Hospital District No 2 | Internal Medicine | 11521 Ne 128th St, Ste 100, Kirkland, WA 98034-4317 | 2006-10-16 |
| 1750482949 | King County Public Hospital District No 2 | Internal Medicine | 11521 Ne 128th St, Ste 130, Kirkland, WA 98034-4317 | 2006-09-26 |
| 1134102312 | Stephen Wallingford Price | Physician Assistant | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2005-11-22 |
| 1578546768 | Connie Jo Smith | Internal Medicine | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2005-11-22 |
| 1679555155 | Amee Srikanth Naidu | Physician Assistant | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2005-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114269735 | Marissa Black | Internal Medicine | 11521 Ne 128th St Ste 100, Kirkland, WA 98034 | 2013-03-21 |
| 1578546768 | Connie Jo Smith | Internal Medicine | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2005-11-22 |
| 1255313185 | Arthur Calvert Israel | Internal Medicine | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2005-11-16 |
| 1689656563 | Richard Kent Lipsky | Internal Medicine | 11521 Ne 128th St, Suite 100, Kirkland, WA 98034-4317 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507662 | 6m Geriatrics & Hospital Medicine | Internal Medicine | 620 Terry Ave Unit 202, Seattle, WA 98104-2020 | 2020-01-17 |
| 1164072765 | Vm Provision Care LLC | Internal Medicine | 3640 S Cedar St Ste O, Tacoma, WA 98409-5700 | 2019-09-16 |
| 1285977983 | Martha and Mary Lutheran Services | Internal Medicine | 19160 Front Street Ne, Poulsbo, WA 98370-0127 | 2013-04-01 |
| 1285995365 | Jazmin Ivette Yepez Kuri | Internal Medicine | 1200 N 14th Ave Ste 300, Our Lady of Lourdes Hospital At Pasco, Pasco, WA 99301-4195 | 2012-06-05 |
| 1851684914 | Lissette Ramirez Suero | Internal Medicine | 560 Gage Blvd Ste 203, Kadlec Clinic Senior Health, Richland, WA 99352-8650 | 2011-05-24 |
| 1568751097 | Delia Lee Takagi | Internal Medicine | 560 Gage Blvd Suite 102, Richland, WA 99325 | 2011-04-05 |
| 1780982694 | Shirley Newell | Internal Medicine | 1126 38th Ave E, Seattle, WA 98112-4434 | 2011-03-02 |
| 1407088016 | Daniel Raskind Md Pllc | Internal Medicine | 5320 135th Pl Se, Bellevue, WA 98006-4238 | 2009-08-14 |
| 1497953947 | Diane A. Faran | Internal Medicine | 9040 Jacksonave, Tacoma, WA 98431-2306 | 2007-07-06 |
| 1518164052 | Elaine Liu | Internal Medicine | 4515 Martin Luther King Jr Way S Ste 100, Seattle, WA 98108-2183 | 2007-06-28 |
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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.