KELLY A STEVENS


Address: 825 Eastlake Ave E, Seattle, WA 98109-4405
Phone: 2062887222

KELLY A STEVENS (NPI# 1851417505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851417505
Entity Type Individual
Full Name KELLY A STEVENS
Credential PAC
Practice Address 825 Eastlake Ave E
Seattle
WA 98109-4405
Mailing Address Po Box 50095
Seattle
WA 98145-5095
Practice Telephone 2062887222
Mailing Telephone 2065436420
Enumeration Date 2007-03-22
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA10005180 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY STEVENS

NPI Name Taxonomy Address Enumeration
1598308454 Kelly Lynn Stevens Nurse Practitioner 11124 Wembley Landing Dr, Lithia, FL 33547-4945 2019-10-23
1407196868 Kelly A Stevens Licensed Practical Nurse 42 Iroquois Ave, Lancaster, NY 14086-1706 2013-02-22
1104811959 Kelly Stevens Physician Assistant 710 11th St N, Columbus, MT 59019-7215 2005-09-19
1861900458 Kelly Lane Stevens Marriage & Family Therapist 13453 N Main St, Suite 104, Jacksonville, FL 32218 2018-01-17
1700397064 Kelly Stevens Physical Therapist 2845 N Sheridan Rd, Suite 6400, Chicago, IL 60657 2017-10-13
1932645900 Kelly Stevens Occupational Therapist 250 E Day Rd, Mishawaka, IN 46545-3471 2017-01-13
1649641978 Kelly Lynn Stevens Pharmacist 2277 Iowa Ave, Independence, IA 50644-9106 2015-10-13
1427424522 Kelly Stevens Nurse Practitioner 1141 S La Canada Dr, Green Valley, AZ 85614-1945 2015-08-12
1538546189 Kelly L Stevens Counselor 106 Springview Ln, Summerville, SC 29485-8108 2015-05-04
1780700344 Kelly Ann Stevens Social Worker 5505 Creedmoor Rd, Suite 100, Raleigh, NC 27612-6352 2007-03-22

Office Location

Street Address 825 EASTLAKE AVE E
City SEATTLE
State WA
Zip Code 98109-4405

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386637288 Stephen J Lemon Internal Medicine 825 Eastlake Ave E, Seattle, WA 98109-4405 2005-08-25
1306447834 Saaiqa Maredia Momin Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-11-02
1154921849 Kenneth Tham Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-10-30
1023625498 Ivan Jiayong Huang Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-09-29
1710599378 Christine Gleason Nurse Practitioner 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-08-17
1962023374 Deeter Ryan Neumann Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-27
1083234595 Sydney Lee Smith Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-24
1629698154 Andrew Thomas Ruplin Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-24
1396365300 Kikkeri N Naresh Pathology 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-20
1942820220 Arianne Duong Pharmacist 825 Eastlake Ave E, Seattle, WA 98109-4405 2020-04-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1710590179 Direct Urgent Care Inc Internal Medicine 220 6th Avenue North, Seattle, WA 98109 2020-08-26
1073147104 Hannah Christine Hoyt Registered Nurse 1354 Aloha St, Seattle, WA 98109 2020-02-27
1508402645 Emily Elizabeth Rock Counselor Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 2019-11-25
1770048464 Roger Leach Massage Therapist 4162, Roy Street, Seattle, WA 98109 2019-02-06
1306316658 Laura Katie Richer Counselor 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 2018-11-29
1912492828 One Medical Group of Washington, P.C. Psychologist 625 Boren Avenue North, Seattle, WA 98109 2018-06-25
1942793526 Washington Dental Corporation, PC Dentist 527 Boren Ave N, Seattle, WA 98109 2018-06-08
1417449968 Chelsie Mccalla Occupational Therapy Assistant Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 2018-05-31
1710405964 Next Level Sports Performance Consulting Clinic/Center 24 Roy Street, #461, Seattle, WA 98109 2017-09-07
1679091953 Amy Ly Indorf Pharmacist 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 2017-09-06
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770198954 Ashish Chaudhary Physician Assistant 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 2020-09-14
1144835422 Juleeann Stocking Physician Assistant 1517 17th Ave S, Seattle, WA 98144-3522 2020-09-13
1558973909 Margaret Webster Physician Assistant 6501 36th Ave Nw, Seattle, WA 98117-6010 2020-08-18
1902415888 Elaine J Kow Physician Assistant 520 Terry Ave Unit 423, Seattle, WA 98104-2282 2020-07-27
1720603954 Jill Kristine Nelson Physician Assistant 544 N 67th St, Seattle, WA 98103-5312 2020-06-12
1548742380 Janal Kim Physician Assistant 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 2018-08-29
1740762400 Natalie Thoma Physician Assistant 2309 Boylston Ave E Apt 401, Seattle, WA 98102-3381 2018-08-29
1417463720 Amadi Aesthetics Plastic Surgery Pllc Physician Assistant 1503 2nd Ave W, Seattle, WA 98119-3007 2017-12-21
1669990230 Olivia Price Physician Assistant Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 2017-09-05
1174062434 Ngoc Diep Vu Physician Assistant 5832 Ne 75th St Unit E103, Seattle, WA 98115-6307 2017-02-20
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Competitor

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City SEATTLE
Zip Code 98109

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Dataset Information

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.

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