KATHLEEN FRANCES PHELAN (NPI# 1942580568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942580568 |
| Entity Type | Individual |
| Full Name | KATHLEEN FRANCES PHELAN |
| Credential | ARNP |
| Practice Address |
1330 Rockefeller Ave Ste 400 Everett WA 98201-1676 |
| Mailing Address |
Po Box 3360 Portland OR 97208-3360 |
| Practice Telephone | 4252614950 |
| Mailing Telephone | 8667472455 |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2016-01-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | AP60280901 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
AP 60280901 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
APRN-1306 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518314186 | Kathleen Phelan | Registered Nurse | 377 Bunker Hill Rd, Nassau, NY 12123-4107 | 2016-05-24 |
| 1982256541 | Kathleen Ann Phelan | Counselor | 6500 Quaker Ave Ste D, Lubbock, TX 79413-5138 | 2019-07-14 |
| 1932363447 | Kathleen Wren Phelan | Internal Medicine | 2160 S 1st Ave, Cardinal Bernardin Cancer Center, Maywood, IL 60153-3328 | 2008-07-14 |
| 1871566182 | Kathleen M Phelan | Family Medicine | 1500 Walnut Ridge Dr, Prohealth Care Medical Associates Inc., Hartland, WI 53029-9317 | 2006-02-08 |
| Street Address |
1330 ROCKEFELLER AVE STE 400 |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-1676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435943 | John F Matista | Physician Assistant | 1330 Rockefeller Ave, Suite 225, Everett, WA 98201-1684 | 2005-08-29 |
| 1326598715 | Providence Regional Medical Center | Clinic/Center | 1330 Rockefeller Ave, Suite 150 Medical Offfic Building, Everett, WA 98201-1684 | 2016-10-10 |
| 1861940504 | Lindsay Cook Mertz | Physician Assistant | 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 | 2016-09-12 |
| 1437524352 | John Gavareski | Physician Assistant | 1330 Rockefeller Ave, Everett, WA 98201-1684 | 2015-12-03 |
| 1700261120 | Anna Chan | Pharmacist | 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 | 2015-07-27 |
| 1588051494 | Luis Fernando Alberton | Surgery | 1330 Rockefeller Ave, Ste 400, Everett, WA 98201-1684 | 2015-04-17 |
| 1205222551 | Patrick Willauer | Surgery | 1330 Rockefeller Ave, Everett, WA 98201-1684 | 2015-04-14 |
| 1538554761 | Patrick M Haugstad | Pharmacist | 1330 Rockefeller Ave, Suite 150, Everett, WA 98201-1684 | 2015-04-03 |
| 1770972481 | Lisa Mccabe | Nurse Practitioner | 1330 Rockefeller Ave, Suite 310, Everett, WA 98201-1684 | 2015-01-19 |
| 1851798714 | Emily Rockwell Williamson | Pharmacist | 1330 Rockefeller Ave, Suite 150, Everett, WA 98201 | 2014-11-20 |
| Find all providers in the same location | ||||
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659657260 | Lam Yoo | Nurse Practitioner | 930 North Broadway, Everett, WA 98201 | 2011-10-26 |
| 1780899492 | Sandra Ellen Needham | Nurse Practitioner | 3025 Oakes Ave, Everett, WA 98201-3657 | 2007-05-14 |
| 1558350074 | Ling Harris | Nurse Practitioner | 4824 Alger Ave, Everett, WA 98203-3226 | 2005-10-18 |
| 1467440693 | Jessie H. Ahroni | Nurse Practitioner | 125 130th St Se, Everett, WA 98208-6400 | 2005-10-12 |
| 1588140073 | Naa Afadua Annoh | Nurse Practitioner | 1321 Colby Ave, Everett, WA 98201-1665 | 2018-07-17 |
| 1710318837 | Kenneth Evangelista | Nurse Practitioner | 1321 Colby Ave, Everett, WA 98201-1665 | 2013-11-30 |
| 1255547170 | Eileen Marie Newton | Nurse Practitioner | 1330 Rockefeller Ave, Suite 200, Everett, WA 98201-1684 | 2007-05-15 |
| 1184797011 | Kari Ann Howry | Nurse Practitioner | 1321 Colby Ave, Everett, WA 98201 | 2006-11-16 |
| 1861586927 | Joy A. Varady | Nurse Practitioner | 900 Pacific Ave, Suite 200, Everett, WA 98201-4168 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008716 | Matthew M. Hesse | Nurse Practitioner | 202 62nd Ave Ne, Tacoma, WA 98422-4018 | 2020-09-16 |
| 1770198400 | Irene Wambui Kamau | Nurse Practitioner | 36244 23rd Pl S, Federal Way, WA 98003-8369 | 2020-09-10 |
| 1841835782 | Toni M Keel | Nurse Practitioner | 11120 Ne 33rd Pl Ste 202, Bellevue, WA 98004-1444 | 2019-11-14 |
| 1821642026 | Elizabeth Nicole Firmin | Nurse Practitioner | 317 Ne Thornton Pl, Seattle, WA 98125-8020 | 2019-07-26 |
| 1841852043 | Mariana S Neeway | Nurse Practitioner | 112 Columbia Point Dr Ste 101, Richland, WA 99352-4390 | 2019-07-08 |
| 1023575172 | Amber Elexis Marsh | Nurse Practitioner | 1100 Goethals Dr Ste E2nd, Richland, WA 99352-3300 | 2019-02-25 |
| 1235696568 | Premier Diabetes Care, Pllc | Nurse Practitioner | 6101 123rd Ave Se Unit B, Snohomish, WA 98290-5694 | 2019-02-22 |
| 1679041404 | Cara Ann Lundin | Nurse Practitioner | 11926 43rd St Crt E, Edgewood, WA 98372 | 2018-11-09 |
| 1518434158 | Deborah Christine Tillman | Nurse Practitioner | 1064 Sommerville Rd., Chimacum, WA 98325 | 2018-11-01 |
| 1376038281 | Sharon Renay Christor | Nurse Practitioner | 19160 Front St. Ne, Poulsbo, WA 98370 | 2018-06-25 |
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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.