KRIS GLEN HILLS


Address: 28 S Brandon St, Seattle, WA 98134-2428
Phone: 2064677550

KRIS GLEN HILLS (NPI# 1548735897) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548735897
Entity Type Individual
Full Name KRIS GLEN HILLS
Practice Address 28 S Brandon St
Seattle
WA 98134-2428
Practice Telephone 2064677550
Mailing Telephone 2064677550
Enumeration Date 2018-10-12
Last Update Date 2018-10-12
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist CG60142491 WA Other Service Providers

Office Location

Street Address 28 S BRANDON ST
City SEATTLE
State WA
Zip Code 98134-2428

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1932544152 Anne Vickars Heidbrink Registered Nurse 3rd Ave South, Seattle School District, Seattle, WA 98134 2013-05-01
1003156324 West Coast Behavioral Consultants Inc Dba Blueprints Behavioral Analyst 910 S. Horton St., Unit 703, Seattle, WA 98134 2013-02-22
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Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184240301 Aleric Hughes Peer Specialist 1200 Sw Holden St, Seattle, WA 98106-2054 2020-06-23
1295356483 Yvette Marie Sampson Peer Specialist Josephinum C/o Crew, 1902 2nd Ave., Seattle, WA 98101 2020-04-29
1881252575 Darryl Lee Wright Peer Specialist Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 2019-05-29
1376007286 Fritzina Fay Johnson Peer Specialist 1420 Western Ave Apt 1004, Seattle, WA 98101-2041 2019-01-24
1134693856 Kimo Martin Peer Specialist 1600 Lane St, Seattle, WA 98144 2019-01-15
1558960237 Nicolette Vandenberg Peer Specialist 2100 24th Ave S, Seattle, WA 98144-4637 2020-10-22
1649878562 Jay Thomas Scott Peer Specialist 222 Wall St, Seattle, WA 98121-1431 2020-10-13
1699372219 Jody Orr Peer Specialist 2100 24th Ave S, Seattle, WA 98144-4637 2020-10-06
1902410970 Sheridan Elizabeth Turner Peer Specialist 1600 S Lane St, Seattle, WA 98144-2810 2020-09-07
1952914574 Christina M Bresina Peer Specialist 901 Rainier Ave S, Seattle, WA 98144-2839 2020-08-24
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Competitor

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City SEATTLE
Zip Code 98134

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Dataset Information

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.

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