MRS. KELSEY M. WULF (NPI# 1235491135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235491135 |
| Entity Type | Individual |
| Full Name | MRS. KELSEY M. WULF |
| Credential | RN, FNP-BC |
| Practice Address |
4011 Talbot Rd S Ste 300 Renton WA 98055-5791 |
| Mailing Address |
805 Madison St Ste 901 Seattle WA 98104-1172 |
| Practice Telephone | 4256565060 |
| Practice Fax Number | 4256565047 |
| Mailing Telephone | 2062648100 |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2017-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP60751019 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP125640 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2088710 | 05 | |
| WA | LABOR AND INDUSTRIES | 379775 | 01 |
| TX | 353299601 | 05 |
| Street Address |
4011 TALBOT RD S STE 300 |
| City | RENTON |
| State | WA |
| Zip Code | 98055-5791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770744625 | Leslie Marie Falch | Optometrist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2008-06-23 |
| 1639675796 | Thomas J Parliament II | Chiropractor | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2018-04-05 |
| 1821508268 | Ian Anderson | Specialist/Technologist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2017-10-11 |
| 1558895219 | Taylor Ann Weber | Specialist/Technologist | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2017-04-19 |
| 1477096535 | Brooke Emma Angelo | Physician Assistant | 4011 Talbot Rd S Ste 300, Renton, WA 98055 | 2016-11-22 |
| 1619410891 | Carlin Doyle | Physician Assistant | 4011 Talbot Rd S Ste 300, Renton, WA 98055 | 2016-11-21 |
| 1023550373 | Stephanie Caroline Ouellet | Nurse Practitioner | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2016-11-16 |
| 1700336120 | Shane G. Dowling | Physician Assistant | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2016-10-10 |
| 1831488550 | Sean Paul Haloman | Orthopaedic Surgery | 4011 Talbot Rd S Ste 300, Renton, WA 98055 | 2011-04-04 |
| 1730404286 | Timothy Bruce Alton | Orthopaedic Surgery | 4011 Talbot Rd S Ste 300, Renton, WA 98055-5791 | 2010-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407485287 | Angela S Klementson | Nurse Practitioner | 606 Oakesdale Ave Sw Ste 200, Renton, WA 98057-5227 | 2020-04-03 |
| 1932687704 | Yellow Brick Clinic Pllc | Nurse Practitioner | 1800 Dayton Ave Ne, Renton, WA 98056-2715 | 2018-08-02 |
| 1396188686 | Pritha Thomas | Nurse Practitioner | 375 Nile Pl Ne, Renton, WA 98059-4889 | 2013-04-17 |
| 1033288600 | Joyce Faith Buchanan | Nurse Practitioner | 3001 Ne 4th St, Renton, WA 98056-4122 | 2006-11-07 |
| 1902422918 | Ashley Nicole Davis | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2020-06-25 |
| 1649819087 | Courtney Redus Rowland | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2020-01-02 |
| 1013553841 | Vanessa Marie Rawlings | Nurse Practitioner | 4300 Talbot Rd S, Renton, WA 98055-6238 | 2019-11-27 |
| 1588224711 | Mercy Mugo | Nurse Practitioner | 707 S Grady Way Ste 600, Renton, WA 98057-3227 | 2019-06-19 |
| 1194200667 | Jamie Lea Meyer | Nurse Practitioner | 4011 Talbot Rd S Ste 500, Renton, WA 98055-5782 | 2018-10-01 |
| 1114400330 | Rani Setiawan | Nurse Practitioner | 400 S 43rd St, Renton, WA 98055-5714 | 2018-09-13 |
| Find all providers in RENTON | ||||
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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.