MS. KAREN L WOLLENBERG (NPI# 1720081979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720081979 |
| Entity Type | Individual |
| Full Name | MS. KAREN L WOLLENBERG |
| Credential | N.P. |
| Practice Address |
122 W 7th Ave Suite 450 Spokane WA 99204-2349 |
| Mailing Address |
Po Box 331 Liberty Lake WA 99019-0331 |
| Practice Telephone | 5094558820 |
| Practice Fax Number | 5098384978 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2016-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
ARNP1576432 | FL | Nursing Service Providers |
| Y | 363L00000X | Nurse Practitioner | AP60291690 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
ARNP1576432 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 304739300 | 05 |
| Street Address |
122 W 7TH AVE SUITE 450 |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204-2349 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484395 | Alia Emilie Soulek | Nurse Practitioner | 122 W 7th Ave, Spokane, WA 99204-2349 | 2020-07-08 |
| 1194239707 | Carrie Joann Estuar | Nurse Practitioner | 122 W 7th Ave, Spokane, WA 99204-2349 | 2017-11-20 |
| 1942736731 | Jessica Keen | Nurse Practitioner | 122 W 7th Ave, Suite 450, Spokane, WA 99204-2349 | 2017-05-11 |
| 1457887937 | Jeremiah Mckee | Nurse Practitioner | 122 W 7th Ave, Suite 450, Spokane, WA 99204-2349 | 2017-05-03 |
| 1003222845 | Kristin Walters | Nurse Practitioner | 122 W 7th Ave, Suite 450, Spokane, WA 99204-2349 | 2014-07-01 |
| 1851669337 | Dacia Kay Murillo | Physician Assistant | 122 W 7th Ave, Suite 420, Spokane, WA 99204-2349 | 2011-12-12 |
| 1356646202 | Providence Physician Services Co | Surgery | 122 W 7th Ave, Ste 420, Spokane, WA 99204-2349 | 2011-01-24 |
| 1144538158 | Ryan Forsyth | Physician Assistant | 122 W 7th Ave, Suite 420, Spokane, WA 99204-2349 | 2010-09-24 |
| 1043524481 | Luke Xiaoli Zhan | Surgery | 122 W 7th Ave, Suite 420, Spokane, WA 99204-2349 | 2010-07-27 |
| 1801114129 | Inland Cardiology Associates Ps | Physician Assistant | 122 W 7th Ave, Suite 450, Spokane, WA 99204-2332 | 2010-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982250957 | Megan Elizabeth Dibenedetto | Pharmacist | 105 West 8th Avenue, 350e, Spokane, WA 99204 | 2019-08-14 |
| 1619521168 | Evelyn R Cabon | Genetic Counselor, MS | 101 W. 8th Avenue Suite 1100, Spokane, WA 99204 | 2019-08-01 |
| 1346700655 | Christina Rose | Student in an Organized Health Care Education/Training Program | 120 W. 8th Avenue, Spokane, WA 99204 | 2019-03-22 |
| 1508339862 | Cody J French | Physical Therapist | Washington Outpatient Rehab, 507 S Washington, Spokane, WA 99204 | 2019-01-09 |
| 1730655598 | Washington Outpatient Rehabilitation, LLC | Physical Therapist | 507 S. Washington St., Suite 10, Spokane, WA 99204 | 2018-10-19 |
| 1013405547 | Joel James Hayden | Student in an Organized Health Care Education/Training Program | Providence Sacred Heart, 101 West 8th Avenue, Spokane, WA 99204 | 2018-04-30 |
| 1144694787 | Brooksjohnsonpllc | Dentist | 1004 S. Monroe Street, Ste 100, Spokane, WA 99204 | 2015-11-19 |
| 1497184196 | Kathalene M Cassels | Physician Assistant | 810 W. 5th Ave. Ste 510, Spokane, WA 99204 | 2013-11-04 |
| 1174880454 | Kelly E Wurzel | Psychiatry & Neurology | 624 E. Front Ave, Spokane, WA 99204 | 2012-04-11 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| Find all providers in zip 99204 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555871 | Katy Jane Kovari | Nurse Practitioner | 2118 N Ruby St, Spokane, WA 99207-5043 | 2020-10-16 |
| 1184222820 | Sidni Brianna Shoemaker | Nurse Practitioner | 4512 N Bessie Ln, Spokane, WA 99212-1793 | 2020-10-14 |
| 1316551286 | Jamie Joelle Finnerty | Nurse Practitioner | 910 W 5th Avenue, Suite #1000, Spokane, WA 99204-2902 | 2020-09-08 |
| 1689285017 | Carmen Snypp | Nurse Practitioner | 3331 W Holyoke Ave, Spokane, WA 99208-4672 | 2020-08-10 |
| 1649817024 | Lisa Renee Giddings | Nurse Practitioner | 1617 E 65th Ave, Spokane, WA 99223-6703 | 2019-12-05 |
| 1134612500 | Jill Johnston | Nurse Practitioner | 1418 S Tacoma St, Spokane, WA 99203 | 2018-06-11 |
| 1982118394 | Dawn Marie Depriest | Nurse Practitioner | 600 N. Riverfront Blvd, Esfcom, Spokane, WA 99210 | 2017-11-21 |
| 1003190331 | Katie L Gomez | Nurse Practitioner | 805 W. 5th Ave, Suite 518, Spokane, WA 99204 | 2011-10-05 |
| 1972807311 | Wanping Zhang | Nurse Practitioner | 122 West 7th Ave, Suite 450, Spokane, WA 99204-2339 | 2010-12-28 |
| 1851694673 | Michele Louise Moore | Nurse Practitioner | 9130 E Fraser Ct, Spokane, WA 99206-6083 | 2010-12-16 |
| Find all providers in SPOKANE | ||||
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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.