CALISTA KU (NPI# 1982122750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982122750 |
| Entity Type | Individual |
| Full Name | CALISTA KU |
| Practice Address |
904 7th Ave Seattle WA 98104 |
| Mailing Address |
1145 Broadway Fl 2 Seattle WA 98122-4201 |
| Practice Telephone | 2068604669 |
| Practice Fax Number | 2068602269 |
| Mailing Telephone | 2068604669 |
| Mailing Fax Number | 2068602269 |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | AP60778925 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AP60778925 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 18323 98th Ave Ne Ste 3, Bothell, WA 980113358 | 4258068360 |
| Street Address |
904 7TH AVE |
| City | SEATTLE |
| State | WA |
| Zip Code | 98104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546713 | William Todd Johnston | Ophthalmology | 904 7th Ave, Seattle, WA 98104-1132 | 2005-05-31 |
| 1609488915 | Emily Wingert | Dietitian, Registered | 904 7th Ave, Seattle, WA 98104-1132 | 2020-08-18 |
| 1144846262 | Aimee K Gallo | Nutritionist | 904 7th Ave, Seattle, WA 98104-1132 | 2020-06-24 |
| 1619598059 | Hannah Huntoon | Physical Therapy Assistant | 904 7th Ave, Seattle, WA 98104-1132 | 2020-04-27 |
| 1457998395 | Jourdan Spencer Cruz | Social Worker | 904 7th Ave, Seattle, WA 98104-1132 | 2019-12-10 |
| 1003464157 | Emily Katherine Pellegrini | Nurse Practitioner | 904 7th Ave, Seattle, WA 98104-1132 | 2019-09-02 |
| 1245791136 | Shea-marie Schrater | Nurse Practitioner | 904 7th Ave, Seattle, WA 98104-1132 | 2019-03-25 |
| 1396210704 | Sheree Reed | Physical Therapist | 904 7th Ave, Seattle, WA 98104-1132 | 2018-10-11 |
| 1346733250 | Emily C Howieson | Nurse Practitioner | 904 7th Ave, Seattle, WA 98104 | 2018-06-14 |
| 1881118172 | Aleks Boldyrev | Physician Assistant | 904 7th Ave, Seattle, WA 98104-1132 | 2017-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394312 | Richard Charles Harruff | Pathology | King County Medical Examiners Office, 325 Ninth Avenue, Seattle, WA 98104 | 2020-04-13 |
| 1558999474 | Nathan Richard Benner | Student in an Organized Health Care Education/Training Program | Uw Medicine-harborview Medical Center Orthopaedics, 325 Ninth Avenue, Seattle, WA 98104 | 2020-03-27 |
| 1063058493 | Brook, LLC. | Health Educator | 311 1/2 Occidental Ave South, Suite 210, Seattle, WA 98104 | 2019-11-20 |
| 1609418813 | Stephanie Amanda Ann Mason | Student in an Organized Health Care Education/Training Program | 325 9th Avenue, Mail Stop #359796, Seattle, WA 98104 | 2019-10-09 |
| 1013480250 | Robert Kenneth Lozier | Pedorthist | Norm Maleng Building, 410 9th Ave, 4th Floor, Seattle, WA 98104 | 2019-01-10 |
| 1548739576 | Lee Hanses | Physical Therapist | 1124 Columbia Street, Level P1, Suite P100, Seattle, WA 98104 | 2018-11-20 |
| 1821579095 | Karissa Lin Lee | Pharmacist | 401 Broadway #2075, Seattle, WA 98104 | 2018-08-27 |
| 1477042091 | Maham Jehangir | Student in an Organized Health Care Education/Training Program | 325 9th Ave Department of Radiology, Seattle, WA 98104 | 2018-05-09 |
| 1740786581 | Philip Daniel Tolley | Student in an Organized Health Care Education/Training Program | 325 9th Ave. Mail Stop#359796, 7th Floor Center Tower Rm #73.1, Seattle, WA 98104 | 2018-04-02 |
| 1528564242 | Vanessa Dawn Leonhard | Student in an Organized Health Care Education/Training Program | 325 9th Ave, 7th Floor Center Tower Room 73.1, Mail Stop #359796, Seattle, WA 98104 | 2018-04-02 |
| Find all providers in zip 98104 | ||||
| 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 |
|---|---|---|---|---|
| 1548871007 | Holly Jean Irvin | Nurse Practitioner | 701 5th Ave N Unit 323, Seattle, WA 98109-5100 | 2020-08-10 |
| 1164080602 | Abigail Bracken | Nurse Practitioner | 2713 S Elmwood Pl, Seattle, WA 98144-3131 | 2019-05-30 |
| 1447813589 | Maria Elena Ovalles Van Gaver | Nurse Practitioner | 1604 14th Ave, Seattle, WA 98122-4026 | 2019-04-15 |
| 1043788292 | Zechariah T Thiry | Nurse Practitioner | 1600 2nd Ave Apt 811, Seattle, WA 98101-3278 | 2018-11-06 |
| 1124503974 | Katrina Korreckt | Nurse Practitioner | 135 Nw 76th St, Seattle, WA 98117-3016 | 2018-09-27 |
| 1275011470 | Amber Lynn Hawkins | Nurse Practitioner | 11531 Bartlett Ave Ne, Seattle, WA 98125-5832 | 2018-07-31 |
| 1346748985 | Thu Van Nguyen | Nurse Practitioner | 317 Ne Thornton Pl Ste 10a, Seattle, WA 98125-8020 | 2018-01-29 |
| 1356860886 | Taylor Donovan | Nurse Practitioner | 509 Olive Way Ste 752, Seattle, WA 98101-3171 | 2017-09-15 |
| 1215454574 | Shannon Duffy | Nurse Practitioner | 12704 76th Ave S, Seattle, WA 98178-4811 | 2017-08-28 |
| 1215458674 | Melissa Mary Fessel | Nurse Practitioner | 601 Broadway Ste 600, Seattle, WA 98122-5330 | 2017-07-06 |
| Find all providers in SEATTLE | ||||
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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.