YELLOW BRICK CLINIC PLLC (NPI# 1932687704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932687704 |
| Entity Type | Organization |
| Organization Name | YELLOW BRICK CLINIC PLLC |
| Practice Address |
1800 Dayton Ave Ne Renton WA 98056-2715 |
| Practice Telephone | 3604805024 |
| Mailing Telephone | 3604805024 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |
| Authorized Official Name | MS. KATHLEEN ELIZABETH JOHNSON (NURSE PRACTITIONER) |
| Authorized Official Telephone | 3694805024 |
| Authorized Official Credential | MSN, ARNP, PMHS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60786815 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2090206 | 05 |
| Street Address |
1800 DAYTON AVE NE |
| City | RENTON |
| State | WA |
| Zip Code | 98056-2715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| 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 |
| 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 |
| 1548793268 | Carolyne Kitur | Nurse Practitioner | 606 Oakesdale Ave Sw, Ste C200, Renton, WA 98057-5227 | 2017-04-10 |
| 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.