ADA OTTER (NPI# 1518225416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518225416 |
| Entity Type | Individual |
| Full Name | ADA OTTER |
| Credential | DNP, ARNP |
| Practice Address |
1909 214th St Se Suite 300 Bothell WA 98021-4412 |
| Practice Telephone | 4254127200 |
| Mailing Telephone | 4254127200 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2012-04-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP60192201 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1909 214TH ST SE SUITE 300 |
| City | BOTHELL |
| State | WA |
| Zip Code | 98021-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659353290 | James David Brown | Internal Medicine | 1909 214th St Se, Suite 110, Bothell, WA 98021-4412 | 2005-11-18 |
| 1740729920 | Gerald Ralph Johnson | Pharmacist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2017-02-21 |
| 1538606413 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2017-01-30 |
| 1831641166 | Kathleen Bradley | Dietitian, Registered | 1909 214th St Se, #300, Bothell, WA 98021-4412 | 2016-11-03 |
| 1588098115 | Daniella Rose Cannone | Physical Therapist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2013-08-30 |
| 1043643885 | Lauren B Jentges | Physical Therapist | 1909 214th St Se, Suite 300, Bothell, WA 98021-4412 | 2013-08-15 |
| 1649535642 | Western Washington Medical Group Inc Ps | Dietitian, Registered | 1909 214th St Se, Suite 211, Bothell, WA 98021-4412 | 2012-07-06 |
| 1417226788 | Laboratory Corporation of America | Clinical Medical Laboratory | 1909 214th St Se, Ste 300, Bothell, WA 98021-4412 | 2011-12-15 |
| 1760765598 | Western Washington Medical Group, Inc Ps | Internal Medicine | 1909 214th St Se, Bothell, WA 98021-4412 | 2011-09-28 |
| 1023324217 | Dynacare Northwest Inc | Clinical Medical Laboratory | 1909 214th St Se, Ste 300, Bothell, WA 98021-4412 | 2010-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057780 | Seyed Ali Hosseini | Medical Genetics | 4299 233rd Pl Se, Bothell, WA 98021 | 2020-06-10 |
| 1710440359 | Hiu Nam Wong | Specialist/Technologist | 23419 17th Avenue Southeast, Bothell, WA 98021 | 2019-04-10 |
| 1578029823 | Andrea Lynn Whipple | Speech-Language Pathologist | 1909 124th Street Se, Suite 204, Bothell, WA 98021 | 2019-02-12 |
| 1730656604 | Pavittar Kaur Mansahia | Registered Nurse | Northshore School District, 3330 Monte Villa Parkway, Bothell, WA 98021 | 2018-10-30 |
| 1699261636 | Kellie Joan Wilcox Moore | Naturopath | 2210 242nd St Sw, Bothell, WA 98021 | 2018-07-02 |
| 1174970495 | Tracey Comella | Behavioral Analyst | 2020 Maltby Road Suite 7 Pmb 294, Bothell, WA 98021 | 2016-05-17 |
| 1912332545 | Katherine Marie Zintel | Counselor | 1909 214th St Se Ste 204, Bothell, WA 98021 | 2013-09-13 |
| 1720332471 | Sharon Lynne Deering | Speech-Language Pathologist | 3330 Monte Villa Parkway, Northshore School District, Bothell, WA 98021 | 2012-11-02 |
| 1225302722 | Lynette Patricia Hansen | Massage Therapist | 510 222nd Street Sw, Bothell, WA 98021 | 2012-03-01 |
| 1669749891 | Susie Fox | Dietitian, Registered | 4026 224th St Se#6, Bothell, WA 98021 | 2011-11-16 |
| Find all providers in zip 98021 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802675 | Michelle Ann Rorie | Nurse Practitioner | 1100 Villanova St Ne, Olympia, WA 98516-5454 | 2020-08-22 |
| 1174132294 | Heather Catherine Pounds | Nurse Practitioner | 4222 Robin Rd W, University Place, WA 98466-1536 | 2020-07-24 |
| 1801410675 | Mi Thi Trieu Tran | Nurse Practitioner | 24611 116th Ave Se, Kent, WA 98030-4939 | 2020-06-08 |
| 1609409085 | Kris Dee Chatman | Nurse Practitioner | 1628 S Mildred St Ste 105, Tacoma, WA 98465-1628 | 2020-02-13 |
| 1912547365 | Thomas Lee Etherton | Nurse Practitioner | 4425 Cole Ct Se, Olympia, WA 98501-4474 | 2020-01-14 |
| 1306489760 | Nikolaus V Voswinkel | Nurse Practitioner | 1420 Terry Ave Unit 202, Seattle, WA 98101-1981 | 2019-10-17 |
| 1518509520 | Sasha Rose Jensen | Nurse Practitioner | 460 West G Street, Forks, WA 98331 | 2019-10-10 |
| 1306487772 | Harmony Kroll | Nurse Practitioner | 23475 225th Way Se, Ste 201, Maple Valley, WA 98038-5294 | 2019-10-07 |
| 1932751658 | Lesly Marie Dosono Barcena | Nurse Practitioner | 6700 Roosevelt Way Ne Apt A211, Seattle, WA 98115-6642 | 2019-07-12 |
| 1912568205 | Andrea Lyn Fellman | Nurse Practitioner | Ideal Option Clinic 328 South Stillaguamish Ave, Arlington, WA 98223-1660 | 2019-06-26 |
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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.