MRS. ALEXANDRA KOZEDUB (NPI# 1275739591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275739591 |
| Entity Type | Individual |
| Full Name | MRS. ALEXANDRA KOZEDUB |
| Credential | ARNP |
| Practice Address |
801 Sw 16th St Ste 121 Renton WA 98057-2628 |
| Practice Telephone | 2068058885 |
| Practice Fax Number | 2068058886 |
| Mailing Telephone | 2068058885 |
| Mailing Fax Number | 2068058886 |
| Enumeration Date | 2007-06-24 |
| Last Update Date | 2016-05-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP 60221324 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
ANT9226999 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
801 SW 16TH ST STE 121 |
| City | RENTON |
| State | WA |
| Zip Code | 98057-2628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093759995 | Adam Burkey | Psychiatry & Neurology | 801 Sw 16th St, Suite 121, Renton, WA 98057-2697 | 2006-06-15 |
| 1144779232 | Pain Care Physicians Pllc | Pain Medicine | 801 Sw 16th St, Suite 121, Renton, WA 98057 | 2016-09-29 |
| 1184178949 | Pain Care Associates | Pain Medicine | 801 Sw 16th St, Suite 121, Renton, WA 98057-2697 | 2016-08-10 |
| 1922347046 | Davis Williams Lamson | Naturopath | 801 Sw 16th St, Suite 121, Renton, WA 98057-2697 | 2013-02-08 |
| 1811011356 | David Zeoli | Acupuncturist | 801 Sw 16th St, Suite 126, Renton, WA 98057-2697 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856628 | Megan Ramaiya | Student in an Organized Health Care Education/Training Program | King Count Sexual Assault & Resource Center, 200 Mill Ave S # 10, Renton, WA 98057 | 2019-11-19 |
| 1063076255 | Breanne Michele Smiley | Specialist/Technologist | 737 Logan Ave N, Renton, WA 98057 | 2019-04-24 |
| 1093215063 | Laura Lewis | Physical Medicine & Rehabilitation | 1000 Oakesdale Ave Sw Ste 100, Renton, WA 98057 | 2018-02-16 |
| 1437676004 | Ralph William Papke Jr. | Counselor | Kaiser Permanente of Wa, 1200 Sw 27th St, Renton, WA 98057 | 2017-08-24 |
| 1487106456 | Serengeti Care Partners LLC | Community/Behavioral Health | 707 S- Grady Way, Suite 6008, Renton, WA 98057 | 2016-10-26 |
| 1548716152 | Phandinh Ngoc Nguyen | Naturopath | 330 Sw 43rd St,suite L, Renton, WA 98057 | 2016-09-01 |
| 1275905721 | Todd R Glass | Chiropractor | 1024 N 10th Pl #2306, Renton, WA 98057 | 2015-10-23 |
| 1134595341 | Have A Heart | Case Management | 151 Taylor Ave Nw, Renton, WA 98057 | 2015-08-12 |
| 1780087171 | Brianne N Lefferts | Physical Therapist | 300 Sw 7th Street, Renton, WA 98057 | 2014-09-30 |
| 1588089460 | Sound Association Western Washington LLC | Audiologist | 108 Factory Ave. N., Ste 2b, Renton, WA 98057 | 2014-02-28 |
| Find all providers in zip 98057 | ||||
| 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.