AMY ROSE KOROTKIN (NPI# 1124640644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124640644 |
| Entity Type | Individual |
| Full Name | AMY ROSE KOROTKIN |
| Credential | UNDERGRADUATE |
| Practice Address |
4205 94th Ave Ne Bellevue WA 98004-1317 |
| Practice Telephone | 4259223844 |
| Mailing Telephone | 4259223844 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
4205 94TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98004-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| 1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
| 1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
| 1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
| 1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
| 1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
| 1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
| 1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
| 1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
| Find all providers in zip 98004 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854148 | Justin Darrell Preston Jones | Counselor | 205 169th Ave Ne, Bellevue, WA 98008-4523 | 2020-08-31 |
| 1114530854 | Ju-pei Yao | Counselor | 10047 Main St Apt 514, Bellevue, WA 98004-5319 | 2020-08-24 |
| 1912529371 | Kristina Pass | Counselor | 14933 Se 45th Pl, Bellevue, WA 98006-2402 | 2020-05-08 |
| 1023650538 | Sarah Mcdermott | Counselor | 733 N Main St Ste C, Bellevue, ID 83313-6068 | 2019-10-16 |
| 1386292944 | Trinidad Soza | Counselor | 999 164th Ave Ne # 5862338, Bellevue, WA 98008-3518 | 2019-08-27 |
| 1083197776 | Erich Flaker | Counselor | 13343 Ne Bel Red Rd, Bellevue, WA 98005-2274 | 2018-09-10 |
| 1063960292 | Paul Oguna Ajuoga | Counselor | 202 Galvin Rd N Apt 5, Bellevue, NE 68005-4840 | 2016-09-16 |
| 1902296528 | Alex Gomez | Counselor | 826 102nd Ave Ne Ste 300, Bellevue, WA 98004-4158 | 2015-02-03 |
| 1447651104 | Keunhee (casey) Kim | Counselor | 13400 Ne 20th St Ste B-47, Bellevue, WA 98005-2099 | 2014-09-11 |
| 1780093120 | Carol Weeks | Counselor | 400 108th Ave Ne Ste 402, Bellevue, WA 98004-5508 | 2014-08-11 |
| Find all providers in BELLEVUE | ||||
Please comment or provide details below to improve the information on AMY ROSE KOROTKIN.
| 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.