LAUREL A MITZEL (NPI# 1992989339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992989339 |
| Entity Type | Individual |
| Full Name | LAUREL A MITZEL |
| Credential | LMP |
| Practice Address |
625 4th Ave Suite 303 Kirkland WA 98033-9028 |
| Mailing Address |
Po Box 2130 Kirkland WA 98083-2130 |
| Practice Telephone | 4258904421 |
| Practice Fax Number | 4252167283 |
| Mailing Telephone | 4258904421 |
| Mailing Fax Number | 4252167283 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA00008794 | WA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | REGENCE BLUE SHIELD | MI5423 | 01 |
| Street Address |
625 4TH AVE SUITE 303 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98033-9028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023043445 | Aesthetic Eye Associates, Ps | Ophthalmology | 625 4th Ave, Suite 301, Kirkland, WA 98033-9028 | 2006-07-12 |
| 1326382144 | Doctors of Physical Therapy Pllc | Point of Service | 625 4th Ave, Ste 203, Kirkland, WA 98033-9028 | 2012-11-16 |
| 1750436440 | Christine Eleanor Merritt | Physical Therapist | 625 4th Ave, Suite 303, Kirkland, WA 98033-9028 | 2007-01-24 |
| 1619990157 | Robert D Poaster | Nurse Anesthetist, Certified Registered | 625 4th Ave, Ste 303, Kirkland, WA 98033-9028 | 2006-07-25 |
| 1689695231 | Aesthetic Eye Associates Ambulatory Surgery Center Pllc | Clinic/Center | 625 4th Ave, Ste 301, Kirkland, WA 98033-9028 | 2006-07-21 |
| 1164443719 | Bryan S Sires | Ophthalmology | 625 4th Ave, Ste 301, Kirkland, WA 98033-9028 | 2006-07-21 |
| 1669407086 | Steven Joseph Laukaitis | Ophthalmology | 625 4th Ave, Ste 301, Kirkland, WA 98033-9028 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584826 | Raquel Maria Reyes | Interpreter | 11205 Ne 62nd St., Kirkland, WA 98033 | 2020-10-02 |
| 1588146468 | Lake Washington Family Chiropractic, Pllc | Chiropractor | 816 6th Street South, 816 6th Street South, Kirkland, WA 98033 | 2018-09-06 |
| 1316463557 | Tony Jia Ly | Pharmacist | 7224 120th Ave Ne, Kirkland, WA 98033 | 2017-08-18 |
| 1003356403 | Eden Home Health of King County, LLC | Home Health | 733 7th Avenue, Suite 110, Kirkland, WA 98033 | 2017-03-03 |
| 1184170763 | Kirkland Family Dentistry | Dentist | 1715 Market St #104, Kirkland, WA 98033 | 2016-09-01 |
| 1144688565 | Kamala Psychology and Yoga LLC | Psychologist | 603 4th Ave Ste 101, Kirkland, WA 98033 | 2016-01-30 |
| 1245695352 | Ron Massey | Massage Therapist | 11406 Ne 112th St, Kirkland, WA 98033 | 2015-12-17 |
| 1194106039 | John Pham | Internal Medicine | 9426 116th Ave Ne, Kirkland, WA 98033 | 2015-06-16 |
| 1992199970 | Garrison Patrick Wier | Ophthalmology | 625 4th Ave Ste 301, Kirkland, WA 98033 | 2015-03-26 |
| 1871993113 | Abigail Trajtenberg Loomis | Behavioral Analyst | 1003 7th Avenue, Kirkland, WA 98033 | 2014-08-22 |
| Find all providers in zip 98033 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881095750 | Sarah Karmali | Specialist | 14335 Simonds Rd Ne, Unit A304, Kirkland, WA 98034-9201 | 2014-09-10 |
| 1801227327 | Mod Skin and Body Clinic | Specialist | 14130 Juanita Dr Ne Ste 110, Kirkland, WA 98034-0127 | 2013-12-09 |
| 1316284771 | Daniel Leonard Jones | Specialist | 10517 Ne 38th Pl Bldg 11, Kirkland, WA 98033-7926 | 2013-01-04 |
| 1326324674 | Kwesi E Coleman | Specialist | 11415 Ne 128th St, Ste 130, Kirkland, WA 98034 | 2011-11-01 |
| 1023315736 | Lynn Renee Brooks | Specialist | 4305 Lake Washington Blvd Ne, 2311, Kirkland, WA 98033-7883 | 2011-02-15 |
| 1730485848 | Norma Jean Campbell | Specialist | 11008 Ne 68th St, Apt. 712, Kirkland, WA 98033-7169 | 2011-02-07 |
| 1285957563 | Amy Paolinelli | Specialist | 10060 116th Ave Ne, Kirkland, WA 98033-5150 | 2010-03-01 |
| 1417182379 | Erika Brooke | Specialist | 611 4th Ave Ste 100, Kirkland, WA 98033-6019 | 2009-05-21 |
| 1558508812 | Alie M Miller | Specialist | 903 5th Ave, Suite 102, Kirkland, WA 98033-6348 | 2009-01-08 |
| 1437305141 | Mti Physical Therapy Kirkland | Specialist | 11800 Ne 128th St Ste 510, Kirkland, WA 98034-7208 | 2008-08-13 |
| Find all providers in KIRKLAND | ||||
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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.