KATHERINE M CRONKHITE (NPI# 1699034165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699034165 |
| Entity Type | Individual |
| Full Name | KATHERINE M CRONKHITE |
| Credential | M.D. |
| Practice Address |
505 Ne 87th Ave Ste 120 Vancouver WA 98664-1965 |
| Practice Telephone | 3608921635 |
| Practice Fax Number | 3608923146 |
| Mailing Telephone | 3608921635 |
| Mailing Fax Number | 3608923146 |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2016-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
MD60542544 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2024900 | 05 |
| Street Address |
505 NE 87TH AVE STE 120 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-1965 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265798821 | Paul Joshua Goodwin | Pediatrics | 505 Ne 87th Ave Ste 120, Evergreen Pediatrics Clinic, Vancouver, WA 98664-1965 | 2012-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063654069 | Katherine Elizabeth Holland | Pediatrics | 505 Ne 87th Ave, Suite 120, Vancouver, WA 98664-1989 | 2009-04-06 |
| 1912163171 | Luke John Voytas | Pediatrics | 505 Ne 87th Ave, Suite 120, Vancouver, WA 98664-1989 | 2008-08-06 |
| 1760655575 | Clotilde Amelia Johnson-beale | Pediatrics | 505 Ne 87th Ave, Suite 120, Vancouver, WA 98664-1989 | 2008-04-12 |
| 1144343773 | Evergreen Pediatric Clinic Ps | Pediatrics | 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 | 2007-04-09 |
| 1164492435 | Sharon A Bucher | Pediatrics | 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 | 2006-01-26 |
| 1073583878 | Jennifer L Soden | Pediatrics | 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 | 2006-01-24 |
| 1932179819 | Megan E Eussen | Pediatrics | 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 | 2006-01-24 |
| 1013987981 | Charles E Fuchs | Pediatrics | 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 | 2006-01-24 |
| 1710957691 | Kathleen M Hutchinson | Pediatrics | 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 | 2006-01-24 |
| 1619947595 | Susan D Cuneo | Pediatrics | 505 Ne 87th Ave, Ste 120, Vancouver, WA 98664-1989 | 2006-01-24 |
| Find all providers in VANCOUVER | ||||
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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.