KATHLEEN PYATEK (NPI# 1528462272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528462272 |
Entity Type | Individual |
Full Name | KATHLEEN PYATEK |
Other Name | KATHLEEN MARIE NAVARRO |
Credential | PA |
Practice Address |
211 Nw Larch Ave Redmond OR 97756-1357 |
Mailing Address |
211 16th Ave N Po Box 9 Nampa ID 83687-4058 |
Practice Telephone | 5415482164 |
Practice Fax Number | 5415480534 |
Mailing Telephone | 2084674431 |
Mailing Fax Number | 2084677684 |
Enumeration Date | 2014-10-09 |
Last Update Date | 2020-04-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA1191 | ID | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
211 NW LARCH AVE |
City | REDMOND |
State | OR |
Zip Code | 97756-1357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912945619 | Mark A Valenti | Family Medicine | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2006-06-03 |
1114584331 | Timothy Michael Baumgarte | Nurse Practitioner | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2019-05-22 |
1801272513 | Jeremy Brodhead | Nurse Practitioner | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2015-08-04 |
1235579194 | Molly Laue Garbus | Student in an Organized Health Care Education/Training Program | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2013-06-25 |
1568710382 | Amy Bidwell Tatom | Nurse Practitioner | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2012-08-28 |
1942564281 | Mark Warnholz Williams | Family Medicine | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2012-07-02 |
1750674412 | Ruperto Castaneda Vallarta Jr. | Pediatrics | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2011-05-26 |
1255635785 | St. Charles Health System, Inc. | Family Medicine | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2010-12-23 |
1508187675 | Sing-wei Ho | Family Medicine | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2010-06-11 |
1306162789 | Nancy Dayzie Heavilin | Pediatrics | 211 Nw Larch Ave, Redmond, OR 97756-1357 | 2010-04-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
Find all providers in zip 97756 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427100841 | Marcia G. Kramer | Physician Assistant | 15809 Bear Creek Pkwy Ste 100, Redmond, WA 98052-1542 | 2007-01-17 |
1306808142 | Suzanne E Browning-tarbet | Physician Assistant | 1245 Nw 4th St Ste 101, Redmond, OR 97756-1680 | 2006-04-05 |
1932591963 | Bryce Campbell | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2015-02-27 |
1225432826 | Evan Joseph Ludmer | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97757 | 2014-10-10 |
1942541164 | Angela Tye | Physician Assistant | 1253 Nw Canal Blvd, Redmond, OR 97756-1334 | 2013-03-13 |
1720369648 | Ryan Narciso | Physician Assistant | 18100 Ne Union Hill Rd Ste 200, Redmond, WA 98052-3330 | 2011-09-06 |
1073633772 | Cristina Zappoli Ryser | Physician Assistant | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-03-29 |
1528111614 | Jon G Lowe | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-01-19 |
1194877431 | Cynthia J. Kusiak | Physician Assistant | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-17 |
1033261458 | Brent D. Kooy | Physician Assistant | 2700 152nd Ave Ne, Redmond, WA 98052-5543 | 2007-01-17 |
Find all providers in REDMOND |
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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.