CORISSA WENNERLIND (NPI# 1104278654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104278654 |
Entity Type | Individual |
Full Name | CORISSA WENNERLIND |
Practice Address |
11800 Ne 128th St Ste 510 Kirkland WA 98034-7208 |
Practice Telephone | 4258202590 |
Mailing Telephone | 4258202590 |
Enumeration Date | 2016-07-08 |
Last Update Date | 2016-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
11800 NE 128TH ST STE 510 |
City | KIRKLAND |
State | WA |
Zip Code | 98034-7208 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083690242 | Richard C Carlsen | Pharmacist | 11800 Ne 128th St, Ste 150, Kirkland, WA 98034 | 2005-12-20 |
1962935197 | Lake Washington Anesthesia Pllc | Anesthesiology | 11800 Ne 128th St, Suite 100, Kirkland, WA 98034-7208 | 2017-04-05 |
1861843989 | Kathy Tram Daotay | Nurse Practitioner | 11800 Ne 128th St, Suite 300, Kirkland, WA 98034-7208 | 2016-06-30 |
1720449804 | Teresa K Yagi Dds Pllc | Dentist | 11800 Ne 128th St, Suite 520, Kirkland, WA 98034-7208 | 2016-03-16 |
1285003707 | Lauren Janice Ma | Dentist | 11800 Ne 128th St, Suite 520, Kirkland, WA 98034-7208 | 2015-09-15 |
1699143230 | Manual Therapy International P.s., P.l.l.c. | Clinic/Center | 11800 Ne 128th St, Suite 510, Kirkland, WA 98034-7208 | 2015-09-14 |
1255713145 | Annette Anderson | Nurse Practitioner | 11800 Ne 128th St, 2nd Floor, Kirkland, WA 98034-7208 | 2015-06-26 |
1699154013 | Ester Anne Yang | Physician Assistant | 11800 Ne 128th St, Ms:a-me, Kirkland, WA 98034-7208 | 2015-05-19 |
1528489648 | Hillarie Hemmann | Physical Therapist | 11800 Ne 128th St, Ste 400, Kirkland, WA 98034-7208 | 2013-12-16 |
1154661791 | Aida Mekouar | Optometrist | 11800 Ne 128th St, Suite 430, Kirkland, WA 98034-7208 | 2013-02-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
Find all providers in zip 98034 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669996856 | Eric James Ninomiya | Physical Therapist | 11800 Ne 128th St Ste 510, Kirkland, WA 98034-7296 | 2017-07-28 |
1811357163 | Elite Performance and Therapy | Physical Therapist | 284 Central Way, Kirkland, WA 98033-6104 | 2016-02-29 |
1164831855 | Maren Kludt | Physical Therapist | 11800 Ne 128th St Ste 510, Kirkland, WA 98034-7296 | 2014-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710585849 | Stephanie Marie Partington | Physical Therapist | 1901 Hoad Road, Mount Vernon, WA 98273 | 2020-10-12 |
1508475674 | Gretchen Stein | Physical Therapist | 17792 147th St Se # 1030, Monroe, WA 98272-1030 | 2020-07-24 |
1194358713 | Heather Salzer | Physical Therapist | 1610 Commercial Ave # 1-a, Anacortes, WA 98221-2275 | 2020-02-21 |
1851930721 | Arlene Mckinnon | Physical Therapist | 1506 14th St, Port Townsend, WA 98368-8502 | 2019-12-24 |
1457992273 | B3 Physical Therapy and Wellness, Pllc | Physical Therapist | 14510 49th Dr Se, Everett, WA 98208-8975 | 2019-10-02 |
1154883601 | Mariah Joy Tank | Physical Therapist | 5410 California Ave Sw # 101, Seattle, WA 98136-1562 | 2019-04-03 |
1912464918 | Coty Lee Thomas | Physical Therapist | 21525 Hwy 410 E Ste B, Bonney Lake, WA 98391-4101 | 2019-02-26 |
1366925075 | Michael Westbrooks | Physical Therapist | 1445 Nw Mall St, Issaquah, WA 98027-7900 | 2018-09-09 |
1295244887 | Gregory Lloyd | Physical Therapist | 1407 E 72nd St Ste A100, Tacoma, WA 98404-5906 | 2017-09-26 |
1457878035 | Sumner Specialized Physical Therapy, Pllc | Physical Therapist | 212 W Birch Ave, Colville, WA 99114-2440 | 2017-08-24 |
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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.