MRS. KARISS CORENE PETERSON


Address: 500 17th Ave, Seattle, WA 98122-5711
Phone: 2063202208

MRS. KARISS CORENE PETERSON (NPI# 1982046298) 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) 1982046298
Entity Type Individual
Full Name MRS. KARISS CORENE PETERSON
Credential ARNP FNP-BC
Practice Address 500 17th Ave
Seattle
WA 98122-5711
Practice Telephone 2063202208
Practice Fax Number 2063202451
Mailing Telephone 2063202208
Mailing Fax Number 2063202451
Enumeration Date 2013-07-28
Last Update Date 2020-10-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60399126 WA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1124 Columbia St Ste 600, Seattle, WA 981042046 2063863660 2063863644

Office Location

Street Address 500 17TH AVE
City SEATTLE
State WA
Zip Code 98122-5711

Providers in the same location

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
1821623257 Kirsten Elizabeth Wickstrom Registered Nurse 500 17th Ave, Seattle, WA 98122-5711 2020-03-05
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881291003 Allison Walzer Nurse Practitioner 526 Yale Ave N Apt 402, Seattle, WA 98109-5544 2020-10-01
1841800521 Lauren Levesque Nurse Practitioner 2744 Ne 54th St Unit B, Seattle, WA 98105-3146 2020-08-06
1225647381 Donica Liwanag Badua Nurse Practitioner 819 Virginia St Unit 2605, Seattle, WA 98101-4430 2020-07-24
1326664145 William Silas Nichols Nurse Practitioner 1760 Nw 56th St Apt 211, Seattle, WA 98107-5299 2020-06-17
1306485370 Samuelle Genevievre Inevil Nurse Practitioner 4455 Interlake Ave N Unit 524, Seattle, WA 98103-7592 2019-12-23
1841838422 Rachel Sasinowski Herrmann Nurse Practitioner 1505 Westlake Ave N Ste 400, Seattle, WA 98109-6211 2019-12-14
1265085542 Hyunjoo Hannah Bae Nurse Practitioner 1818 Harvard Ave Apt 104, Seattle, WA 98122-2289 2019-07-16
1699247874 Brien Claes Barrett Nurse Practitioner 10315 Stone Ave N, Seattle, WA 98133-9419 2018-12-28
1730662057 Heather Renee Grods Nurse Practitioner 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 2018-09-12
1639651086 Amanda Matthews Nurse Practitioner 9000 Holman Rd Nw Ste A1, Seattle, WA 98117-3418 2018-09-02
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Competitor

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City SEATTLE
Zip Code 98122

Improve Information

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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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