Kathryn Elizabeth De Rose (NPI# 1053888529, PAC ID# 2769722495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1053888529 |
| PAC ID by PECOS | 2769722495 |
| Professional Enrollment ID | I20190315002365 |
| Full Name | Kathryn Elizabeth De Rose |
| Organization Legal Name | CAPITAL MEDICAL CENTER PHYSICIANS LLC |
| Address |
3920 Capital Mall Dr Sw Suite 200 Olympia WA 98502-8701 |
| Phone Number | 3604597282 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3678639879 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500139 | CAPITAL MEDICAL CENTER |
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 | 3604597282 | CAPITAL MEDICAL CENTER PHYSICIANS LLC |
| Organization Legal Name | CAPITAL MEDICAL CENTER PHYSICIANS LLC |
| Physicians | 23 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Socorro Miranda Gandara | Nurse Practitioner | Capital Medical Center Physicians LLC | 1100 Eastside St Se, Olympia, WA 98501-7304 |
| Tui Agaapapalagi Lauilefue | Internal Medicine | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Hope Umbel | Nurse Practitioner | Capital Medical Center Physicians LLC | 2960 Limited Ln Nw, Suite A, Olympia, WA 98502-4541 |
| Jeewon Yang | Nurse Practitioner | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Quoc T Phan | Family Medicine | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Eric W Frevert | Physician Assistant | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Nancy E Armstrong | Nurse Practitioner | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Heidi L Sedra | Nurse Practitioner | Capital Medical Center Physicians LLC | 1100 Eastside St Se, Olympia, WA 98501-7304 |
| Noeru Okamura | Family Medicine | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Virginia R Cannon | Internal Medicine | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Street Address |
3920 CAPITAL MALL DR SW SUITE 200 |
| City | OLYMPIA |
| State | WA |
| Zip | 98502-8701 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tui Agaapapalagi Lauilefue | Internal Medicine | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Monica Tomoyo Young | General Surgery | Capital Medical Center Specialty Physicians, LLC | 3920 Capital Mall Dr Sw, Suite 201, Olympia, WA 98502-8702 |
| Laurel A Dickason | Obstetrics/gynecology | South Sound Women's Center LLP | 3920 Capital Mall Dr Sw, Suite 400, Olympia, WA 98502-8703 |
| Nathaniel B Paull | General Surgery | Capital Medical Center Specialty Physicians, LLC | 3920 Capital Mall Dr Sw, Olympia, WA 98502-8700 |
| Richard N Henegan | Obstetrics/gynecology | South Sound Women's Center LLP | 3920 Capital Mall Dr Sw, Suite 400, Olympia, WA 98502-8703 |
| Jeewon Yang | Nurse Practitioner | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Quoc T Phan | Family Medicine | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Evan G Brown | Internal Medicine | Capital Medical Center Specialty Physicians, LLC | 3920 Capital Mall Dr Sw, Olympia, WA 98502-8700 |
| Eric W Frevert | Physician Assistant | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Nancy E Armstrong | Nurse Practitioner | Capital Medical Center Physicians LLC | 3920 Capital Mall Dr Sw, Suite 200, Olympia, WA 98502-8701 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Terry E Swartling | Chiropractic | 3663 College St Se F, Lacey, WA 98502 | |
| Shane R Son | Family Medicine | 404 Black Hills Lane Sw, Suite D, Olympia, WA 98502 | |
| Donald Michael Soran | Chiropractic | 1115 Black Lake Blvd Sw, Suite A, Olympia, WA 98502-1026 | |
| Nancy Jane Sullivan | Clinical Social Worker | 1800 Cooper Point Sw Rd, 24b, Olympia, WA 98502-1039 | |
| Suzan I Kudick | Chiropractic | 1800 Cooper Point Rd Sw, Suite 24a, Olympia, WA 98502-1039 | |
| Harrison E Williams | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Kristyn M Schlenker | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw B, Olympia, WA 98502-1049 |
| Brad A Payne | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Andrea D Gallo | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Jennifer G Zoller | Physical Therapy | Steamboat Physical Therapy, Inc. | 2102 Carriage Dr Sw, Suite B, Olympia, WA 98502-1049 |
| Find all physicians in zip 98502 | |||
| City | OLYMPIA |
| Zip Code | 98502 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | OLYMPIA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kathryn Elizabeth De Rose.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.