KRISTEN NICOLE BURKE (NPI# 1780122242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780122242 |
Entity Type | Individual |
Full Name | KRISTEN NICOLE BURKE |
Credential | PA-C |
Practice Address |
3726 Broadway Ste 201 Everett WA 98201-3788 |
Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
Practice Telephone | 4253179119 |
Mailing Telephone | 8667472455 |
Enumeration Date | 2017-02-05 |
Last Update Date | 2018-05-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363A00000X | Physician Assistant | 020524 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA60803227 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 2096348 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922361542 | Kristen Michelle Burke | Social Worker | 442 Atherton Dr, Carmel, IN 46032-2095 | 2012-06-19 |
1407312192 | Kristen Paulette Burke | Nurse Practitioner | 310 Maple Ave, Barrington, RI 02806 | 2019-02-18 |
1841760840 | Kristen Noel Burke | Community Health Worker | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2018-12-03 |
1447756689 | Kristen Burke | Student in an Organized Health Care Education/Training Program | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2018-04-05 |
1639691546 | Kristen Ann Burke | Physician Assistant | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2017-07-12 |
1396103859 | Kristen Burke | Speech-Language Pathologist | 46 Roxbury Ct, Cheshire, CT 06410-1511 | 2016-01-29 |
1851450167 | Kristen Ann Burke | Counselor | 430 N Canal St, Lawrence, MA 01840-1246 | 2006-12-06 |
1972683670 | Kristen T Burke | Chiropractor | 1835 East West Parkway, Orange Park, FL 32003 | 2006-10-17 |
1104832831 | Kristen M Burke | Occupational Therapist | 1417 Wightman St, Pittsburgh, PA 15217-1240 | 2006-08-01 |
Street Address |
3726 BROADWAY STE 201 |
City | EVERETT |
State | WA |
Zip Code | 98201-3788 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356326870 | Donald William Henline | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2005-12-07 |
1427521376 | Britni Tyne Manos | Occupational Therapy Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2019-01-03 |
1013493998 | Michael James Oliver | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2018-07-13 |
1275027781 | Lindsay Portz | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2018-06-18 |
1871038109 | Derek Henderson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2016-12-22 |
1699195990 | Mithun Neral | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2014-04-24 |
1558609578 | Julie Lorraine Patterson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2013-01-25 |
1487990362 | Yury Filitovich | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2012-12-20 |
1336491588 | Brandon Ross Wilson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2012-10-12 |
1336439116 | Tyler Kent | Orthopaedic Surgery | 3726 Broadway Ste 201, Everett, WA 98201 | 2011-04-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
Find all providers in zip 98201 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295822740 | Gregory Douglas Stewart Sr. | Physician Assistant | 2424 122nd St Sw, B, Everett, WA 98204-4744 | 2006-10-06 |
1003881020 | James Potocsnak | Physician Assistant | 2320 Rucker Ave, Everett, WA 98201 | 2006-02-22 |
1710979521 | Eric M Tilley | Physician Assistant | 728 134th St Sw Ste 120, Radia Inc., Ps, Everett, WA 98204-5322 | 2005-08-17 |
1003271339 | Christine Reichert | Physician Assistant | 1330 Rockefeller Ave Ste 400, Everett, WA 98201-1676 | 2015-12-31 |
1396132015 | Alvin Abueg | Physician Assistant | 3927 Rucker Ave, Everett, WA 98201-4833 | 2015-04-21 |
1598167074 | Jon Pennington | Physician Assistant | 3726 Broadway, Suite 201, Everett, WA 98201-3787 | 2014-09-16 |
1528496858 | James Albert Marsh | Physician Assistant | 3927 Rucker Ave, Everett, WA 98201-4833 | 2013-10-23 |
1558609578 | Julie Lorraine Patterson | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2013-01-25 |
1871809517 | Amanda Farrell | Physician Assistant | 103 Garland St, Everett, MA 02149 | 2010-08-19 |
1528370723 | Western Washington Medical Group, Inc | Physician Assistant | 3726 Broadway Ste 201, Everett, WA 98201-3788 | 2010-07-06 |
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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.