AMY BRUSTKERN (NPI# 1295860518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295860518 |
| Entity Type | Individual |
| Full Name | AMY BRUSTKERN |
| Credential | P.A. |
| Practice Address |
310 15th Ave E Seattle WA 98112-5103 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 2063263000 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10004905 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8445470 | 05 |
| Street Address |
310 15TH AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98112-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780676122 | Charlie Browne | Specialist | 310 15th Ave E, Cnb-2, Seattle, WA 98112-5103 | 2005-08-22 |
| 1669096350 | Mikaela Rachel Harf | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2020-05-29 |
| 1407390099 | Ashley Harlan | Registered Nurse | 310 15th Ave E, Seattle, WA 98112-5103 | 2016-12-15 |
| 1265841159 | Candace Mabbitt | Advanced Practice Midwife | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-08-05 |
| 1245658343 | Adriana Piazza | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2014-04-04 |
| 1043563034 | Serena Sherrill | Social Worker | 310 15th Ave E, Seattle, WA 98112-5103 | 2012-10-16 |
| 1801187885 | Kaiser Foundation Health Plan of Washington | Clinic/Center | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-26 |
| 1427348887 | Kyunghee Kim | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2011-04-19 |
| 1982919437 | Geetha Narayani Fink | Obstetrics & Gynecology | 310 15th Ave E, Seattle, WA 98112-5103 | 2010-08-09 |
| 1518196500 | Andrew E Warner | Obstetrics & Gynecology | 310 15th Ave E, Group Health, Capitol Hill North Building, Seattle, WA 98112-5103 | 2009-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254991 | Justin Jeng-young Fu | Student in an Organized Health Care Education/Training Program | 125 16 Th Ave E, Csb 545, Seattle, WA 98112 | 2019-03-18 |
| 1275015604 | Eyewear Gallery LLC | Optometrist | 3121 E. Madison St Ste 102, Seattle, WA 98112 | 2018-09-01 |
| 1336637081 | Oh Plastic and Reconstructive Surgery LLC | Plastic Surgery | 602 27th Ave E, Seattle, WA 98112 | 2018-04-27 |
| 1992228191 | John Joseph Folta | Chiropractor | 3121 E Madison St Ste 103a, Seattle, WA 98112 | 2017-07-19 |
| 1083161061 | Sheick Toure | Counselor | 122 16 Ave E, Seattle, WA 98112 | 2016-09-07 |
| 1457721805 | Jessica Donovan | Audiologist | 201 16th Ave E # Cmb, Seattle, WA 98112 | 2015-09-29 |
| 1952777427 | Ronald Berenson | Physiological Laboratory | 2032 41st Avenue, Seattle, WA 98112 | 2015-08-19 |
| 1225419005 | Adrienne Foley | Counselor | 1833 40th Ave. E., Seattle, WA 98112 | 2015-06-17 |
| 1952721771 | Ling Guo | Internal Medicine | Kaiser Permanente Central Hospital Building, 126 16th Ave E, Seattle, WA 98112 | 2014-04-19 |
| 1134548068 | Anne Gayman | Family Medicine | 125 16th Avenue East, Csb-540, Group Health Family Medicine Residency, Seattle, WA 98112 | 2014-04-08 |
| Find all providers in zip 98112 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1902415888 | Elaine J Kow | Physician Assistant | 520 Terry Ave Unit 423, Seattle, WA 98104-2282 | 2020-07-27 |
| 1720603954 | Jill Kristine Nelson | Physician Assistant | 544 N 67th St, Seattle, WA 98103-5312 | 2020-06-12 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| 1740762400 | Natalie Thoma | Physician Assistant | 2309 Boylston Ave E Apt 401, Seattle, WA 98102-3381 | 2018-08-29 |
| 1417463720 | Amadi Aesthetics Plastic Surgery Pllc | Physician Assistant | 1503 2nd Ave W, Seattle, WA 98119-3007 | 2017-12-21 |
| 1669990230 | Olivia Price | Physician Assistant | Medex Northwest 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105 | 2017-09-05 |
| 1174062434 | Ngoc Diep Vu | Physician Assistant | 5832 Ne 75th St Unit E103, Seattle, WA 98115-6307 | 2017-02-20 |
| Find all providers in SEATTLE | ||||
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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.