DR. KELLYN MISSET PLLC (NPI# 1306211776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306211776 |
| Entity Type | Organization |
| Organization Name | DR. KELLYN MISSET PLLC |
| Practice Address |
753 N 35th St Suite 104 Seattle WA 98103-8870 |
| Practice Telephone | 2065475959 |
| Practice Fax Number | 8774179426 |
| Mailing Telephone | 2065475959 |
| Mailing Fax Number | 8774179426 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Authorized Official Name | DR. KELLYN MISSET (OWNER) |
| Authorized Official Telephone | 2065475959 |
| Authorized Official Credential | ND |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | NT60316747 | WA | Ambulatory Health Care Facilities |
| Street Address |
753 N 35TH ST SUITE 104 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98103-8870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609987536 | Judith R Gordon | Psychologist | 753 N 35th St, Suite 305, Seattle, WA 98103-8870 | 2006-08-31 |
| 1912433491 | Martha Hickey | Social Worker | 753 N 35th St, Suite 101, Seattle, WA 98103-8870 | 2017-05-03 |
| 1396295457 | Jade Elissa Roslan | Counselor | 753 N 35th St, Ste. 307, Seattle, WA 98103-8870 | 2016-10-12 |
| 1073991576 | Sarah Heath | Counselor | 753 N 35th St, Suite 204, Seattle, WA 98103-8870 | 2015-05-15 |
| 1508200924 | Christine Kay Havens | Counselor | 753 N 35th St, Suite 204, Seattle, WA 98103-8870 | 2013-04-29 |
| 1821336728 | Joshua James Shideler | Chiropractor | 753 N 35th St, Suite 103, Seattle, WA 98103-8870 | 2013-01-28 |
| 1194071555 | Miriam Anna Mosley | Chiropractor | 753 N 35th St, Suite 103, Seattle, WA 98103-8870 | 2012-08-02 |
| 1982962528 | Sue Elaine Anderson | Social Worker | 753 N 35th St, Seattle, WA 98103-8870 | 2012-05-02 |
| 1851659619 | Irene Marion Michon | Counselor | 753 N 35th St, Suite 310, Seattle, WA 98103-8870 | 2012-04-30 |
| 1952667933 | Debbie Farrar | Counselor | 753 N 35th St, Suite 309, Seattle, WA 98103-8870 | 2012-04-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235743949 | Amy Lindsey | Naturopath | 3670 Stone Way North, Seattle, WA 98103 | 2020-09-01 |
| 1073153748 | Eric Vincent Currier | Specialist | 7218 Linden Ave. N., Seattle, WA 98103 | 2020-01-10 |
| 1235770512 | Donna Dianne Campbell | Technician | 748 N 95th St #202, Seattle, WA 98103 | 2019-10-08 |
| 1841844529 | Devin Bard | Counselor | 819 N 49th St, Suite 229, Seattle, WA 98103 | 2019-07-30 |
| 1811453343 | Matkel Corporation | Massage Therapist | 4459 Fremont Ave N Ste 2, Seattle, WA 98103 | 2019-02-20 |
| 1063980381 | Dennis Gordon Grove | Counselor | 701 N 36th St, Ste 300, Seattle, WA 98103 | 2018-11-05 |
| 1962994681 | Taja Estrada | Psychologist | 7222 Linden Avenue N, Suite A, Seattle, WA 98103 | 2018-05-30 |
| 1073015129 | Kelly A Robison | Massage Therapist | 4459 Fremont Ave North, Suite 2, Seattle, WA 98103 | 2018-03-05 |
| 1609387927 | Andrew Rogers | Counselor | 1307 North 45th Street, Suite 200, Seattle, WA 98103 | 2017-10-13 |
| 1720513096 | Fedora Katz | Dentist | 2108 N Pacific Street Ap 203, Seattle, WA 98103 | 2017-04-25 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1952965915 | Dr. Jessica Wendling, LLC | Clinic/Center | 5401 Leary Ave Nw Ste 206, Seattle, WA 98107-4070 | 2019-04-25 |
| 1376003095 | Express Care Ak LLC | Clinic/Center | 800 Fifth Ave Ste 900, Seattle, WA 98104-3176 | 2019-03-20 |
| 1003373150 | Every Body Moves, LLC | Clinic/Center | 5238 57th Ave S, Seattle, WA 98118-2517 | 2019-02-25 |
| 1598243784 | Women's Accessible Medical Service, Ps | Clinic/Center | 4528 8th Ave Ne Ste 1a, Seattle, WA 98105-1738 | 2018-07-31 |
| 1295257384 | Gary R Feldman Dds Md Ps | Clinic/Center | 1221 Madison St Ste 1116, Seattle, WA 98104-3536 | 2017-07-11 |
| 1639607310 | Trust Women Foundation | Clinic/Center | 1325 4th Ave Ste 1240, Seattle, WA 98101-2516 | 2017-05-25 |
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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.