DR. KRISTINA ELISE PATRICK (NPI# 1093965360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093965360 |
| Entity Type | Individual |
| Full Name | DR. KRISTINA ELISE PATRICK |
| Credential | PH.D. |
| Practice Address |
4800 Sand Point Way Ne Seattle WA 98105-3901 |
| Practice Telephone | 7735058508 |
| Mailing Telephone | 7735058508 |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PY60884931 | WA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679924872 | Kristina Michelle Patrick | Registered Nurse | 10125 Katy Fwy Ste 100, Houston, TX 77024-1287 | 2016-06-29 |
| 1821456864 | Kristina Patrick | Physician Assistant | 345 E Ohio St, Apt. 510, Chicago, IL 60611-3375 | 2016-02-05 |
| Street Address |
4800 SAND POINT WAY NE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891791448 | Eric M Harvey | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2005-06-27 |
| 1326649930 | Amy Ardaya | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-11-02 |
| 1235739129 | Christopher Baker | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-29 |
| 1134728777 | Cara Elizabeth Hilderbrand | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1376142810 | Alexandra Michelle Barrie | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-24 |
| 1285233270 | Joshua James Degrave | Pharmacist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-20 |
| 1811595705 | Raven Khiara Hayes | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-13 |
| 1972101004 | Rachel Elizabeth Gulden | Physician Assistant | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-12 |
| 1821695446 | Kelsey Alexandra Macdonald | Nurse Practitioner | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-10-06 |
| 1275149676 | Lauryn Manning | Registered Nurse | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2020-09-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
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| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083781348 | David Martin White | Clinical Neuropsychologist | 150 Nickerson St Ste 104, Seattle, WA 98109-1634 | 2006-11-29 |
| 1659482578 | Phyllis Sanchez | Clinical Neuropsychologist | 1402 3rd Ave, Ste. 624, Seattle, WA 98101-2195 | 2006-08-31 |
| 1003429721 | Madison Bertolin | Clinical Neuropsychologist | 415 1st Ave N Ste 200, Seattle, WA 98109-4765 | 2020-08-24 |
| 1437791613 | Gabrielle Alvarez | Clinical Neuropsychologist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2019-10-09 |
| 1114456035 | Nickolas Arion Dasher | Clinical Neuropsychologist | 1959 Ne Pacific St, Seattle, WA 98195-0001 | 2017-06-05 |
| 1255787701 | Alan R. Breen, Phd, Pllc | Clinical Neuropsychologist | 411 12th Ave, Ste 305, Seattle, WA 98122 | 2016-05-13 |
| 1285011783 | Natalia Kleinhans | Clinical Neuropsychologist | 325 9th Ave, Box 357115, Seattle, WA 98104-2420 | 2015-05-04 |
| 1801209986 | Katherine S Bowen | Clinical Neuropsychologist | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-06-06 |
| 1871843680 | Sarah K. Noonan | Clinical Neuropsychologist | 1660 S Columbian Way, Rcs-117, Seattle, WA 98108-1532 | 2012-09-19 |
| 1205129210 | Kenneth L Kassover | Clinical Neuropsychologist | 4300 Aurora Ave N, Suite 100, Seattle, WA 98103-7379 | 2011-05-24 |
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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.