Kathryn Anne Dean (NPI# 1265877278, PAC ID# 7113159104) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1265877278 |
| PAC ID by PECOS | 7113159104 |
| Professional Enrollment ID | I20160928001384 |
| Full Name | Kathryn Anne Dean |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Address |
2555 Marvin Rd Ne Lacey WA 98516-3138 |
| Phone Number | 3604134200 |
| Gender | F |
| Medical School | OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2013 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6709782600 |
| Number of Group Practice Members | 315 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 500024 | PROVIDENCE ST PETER HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2555 Marvin Rd Ne, Lacey, WA 98516-3138 | 3604134200 | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES WASHINGTON |
| Physicians | 1132 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Alexander Lee Telis | Orthopedic Surgery | Providence Health and Services Washington | 820 S Mcclellan St, Suite 300, Spokane, WA 99204-2450 |
| Jodi Ann Fischer | Nurse Practitioner | Providence Health and Services Washington | 1450 Northwest Ln Se, Suite A, Lacey, WA 98503-6908 |
| Katherine Elizabeth Reynolds | Nurse Practitioner | Providence Health and Services Washington | 1212 N Pines Rd, Spokane Valley, WA 99206-4939 |
| Eugene Daniel Villacian | Nurse Practitioner | Providence Health and Services Washington | 3333 Ensign Rd Ne, Olympia, WA 98506-5012 |
| Shira Y Albert | Nurse Practitioner | Providence Health and Services Washington | 12312 E Sprague Ave, Spokane Valley, WA 99216-0720 |
| Lisa Tisch | Nurse Practitioner | Providence Health and Services Washington | 551 E Hawthorne Rd, Spokane, WA 99218-1417 |
| Natalie S Angus | Family Medicine | Providence Health and Services Washington | 931 S Market Blvd, Chehalis, WA 98532-3423 |
| Tabatha Schellenger | Nurse Practitioner | Providence Health and Services Washington | 3760 Piper St, Suite 1108, Anchorage, AK 99508-4683 |
| Callie Rose Adams | Nurse Practitioner | Providence Health and Services Washington | 212 E Central Ave, Suite 240, Spokane, WA 99208-6597 |
| Street Address |
2555 MARVIN RD NE |
| City | LACEY |
| State | WA |
| Zip | 98516-3138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kinnard | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Theresa D Cirone-hornickel | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Preston Michael Stephens | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Christine G Johnson | Physical Therapy | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Karen M Carlson | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Michael A Lynam | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Manvi V Smith | Psychologist, Clinical | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Megan Lynn Frasier | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Corey Sullivan | Family Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Kimberley Y Nakai | Nurse Practitioner | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Broudy | Physical Therapy | Therapy Management Services, Pllc | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 |
| Steven Roach | Physical Therapy | Therapy Management Services, Pllc | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 |
| Christopher L Dickerson | Physical Therapy | Puget Sound Physical Therapy LLC | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 |
| Kelli A Henricksen | Physical Therapy | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Ioan Nicolescu | Internal Medicine | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Michael Peter Healey | Family Practice | Providence Health and Services Washington | 2555 Marvin Rd Ne, Lacey, WA 98516-3138 |
| Tedd Louie | Optometry | 1470 Marvin Rd Ne, Lacey, WA 98516-3870 | |
| Stacy L Manroe | Physician Assistant | Qualified Surgical Services Pllc | 3897 Cameron Dr Ne, Lacey, WA 98516-3888 |
| Joseph W Glandon | Optometry | 1401 Galaxy Dr Ne, Lacey, WA 98516-4746 | |
| Craig F Rouse | Optometry | 8160 Freedom Ln Ne, Suite D, Lacey, WA 98516-4753 | |
| Find all physicians in zip 98516 | |||
| City | LACEY |
| Zip Code | 98516 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LACEY + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Kathryn Anne Dean.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.