MS. I PAN (NPI# 1922565795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922565795 |
| Entity Type | Individual |
| Full Name | MS. I PAN |
| Credential | APRN |
| Practice Address |
24920 104th Ave Se Kent WA 98030-6443 |
| Mailing Address |
3600 Lind Ave Sw Suite 100 Attn Credentialing Renton WA 98057-4970 |
| Practice Telephone | 4256903544 |
| Practice Fax Number | 4256909444 |
| Mailing Telephone | 4256902715 |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2020-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60940426 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2124259 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2707 Colby Ave Ste 718, Everett, WA 982013528 | 4253395413 | 4253394213 |
| 3901 Hoyt Ave, Everett, WA 982014918 | 4253395418 | 4253394213 |
| Street Address |
24920 104TH AVE SE |
| City | KENT |
| State | WA |
| Zip Code | 98030-6443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871547927 | Frank P S Fung | Internal Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2006-05-22 |
| 1669902839 | Amanda J Zorn | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2017-06-19 |
| 1710412812 | Erin L Browder | Dietitian, Registered | 24920 104th Ave Se, Kent, WA 98030-6443 | 2017-04-26 |
| 1144603044 | Sherman Wu | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2015-07-09 |
| 1356731681 | Nanette Marie Guild | Social Worker | 24920 104th Ave Se, Kent, WA 98030-6443 | 2015-01-26 |
| 1578900213 | Samira Ali Farah | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2013-06-03 |
| 1407140056 | Johnny Y Shum | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2011-05-31 |
| 1831402841 | John Kittrell Clyde | Podiatrist | 24920 104th Ave Se, Kent, WA 98030-6443 | 2010-07-19 |
| 1043456684 | Michelle Lynn Rodgers | Physician Assistant | 24920 104th Ave Se, Kent, WA 98030 | 2009-01-04 |
| 1053561134 | Phuc T Phung | Family Medicine | 24920 104th Ave Se, Kent, WA 98030-6443 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193193 | Sarah V Swan | Occupational Therapist | 12033 Se 265th St, Kent, WA 98030 | 2020-10-27 |
| 1346889250 | Kaylee Meilahn | Nurse Practitioner | 219 State Ave. N, Suite 220, Kent, WA 98030 | 2019-12-26 |
| 1508417429 | Pamela Stefansky | Technician | 25927 119th Ct Se, Kent, WA 98030 | 2019-09-23 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| 1932681921 | Johana Sanchez-vidales | Massage Therapist | 24837 104th Ave Se #100, Kent, WA 98030 | 2018-09-05 |
| 1265925309 | Linda Tomkins | Chiropractor | 12901 Se Kent-kangley Rd, Kent, WA 98030 | 2018-06-13 |
| 1952809543 | Sarah Rose Collins | Massage Therapist | 13003 Se Kent Kangley Rd Ste 110, Kent, WA 98030 | 2018-01-29 |
| 1942726815 | Alexandra B Zigmont | Physical Therapist | 12926 Se Kent Kangley Road, Kent, WA 98030 | 2017-08-22 |
| 1659801256 | Mitra Lal Dhital | Counselor | 3639 Mlk Jr Way S Seattle, Seattle, WA 98030 | 2017-06-15 |
| 1952838658 | Elizabeth Burson | Registered Nurse | 25742 104th Avenue Se, Kent, WA 98030 | 2017-05-12 |
| Find all providers in zip 98030 | ||||
| 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 |
|---|---|---|---|---|
| 1902441942 | Joel Thorson | Nurse Practitioner | 307 W Main St Ste C, Kent, OH 44240-2400 | 2019-11-13 |
| 1316406754 | Latonya R Shoulders | Nurse Practitioner | 5361 Mallard Cir, Kent, OH 44240-5626 | 2019-03-15 |
| 1881195857 | Olga A Lebed | Nurse Practitioner | 25027 119th Pl Se, Kent, WA 98030-6641 | 2018-02-26 |
| 1124540729 | Stephanie Dawn Maar | Nurse Practitioner | 13036 Se Kent Kangley Rd # 359, Kent, WA 98030-7965 | 2017-07-14 |
| 1376852350 | Lovely Paul | Nurse Practitioner | 521 2nd Pl N Ste 11-103, Kent, WA 98032-4537 | 2010-09-24 |
| 1932358223 | Kris L Fincher | Nurse Practitioner | 24605 35th Ave S, Kent, WA 98032-4186 | 2008-09-11 |
| 1669536934 | Laura A Sadeghi | Nurse Practitioner | Kent State University Health Services, Eastway Drive, Kent, OH 44242-0001 | 2006-12-21 |
| 1023106283 | Barbara Ann Krzyzek | Nurse Practitioner | 620 W James St, King County Correctional Facilities Regional Justice Ce, Kent, WA 98032 | 2006-10-11 |
| 1801981550 | Laurie Jean Gwerder | Nurse Practitioner | 6719 S 211th St Ste 102, Kent, WA 98032-2331 | 2006-10-04 |
| 1023004611 | Robert T Smithing | Nurse Practitioner | 10024 Se 240th St, 201, Kent, WA 98031-5124 | 2005-09-20 |
| Find all providers in KENT | ||||
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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.