Mrs Kristine Mika Peterson, RD | |
1550 N 115th St, Seattle, WA 98133-8401 | |
(206) 520-5000 | |
Not Available |
Full Name | Mrs Kristine Mika Peterson |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 12 Years |
Location | 1550 N 115th St, Seattle, Washington |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023565355 | NPI | - | NPPES |
1033963 | Other | AZ | COMMITTEE ON DIETETIC REGISTRATION ID NUMBER |
1023565355 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1033963 (Arizona) | Secondary |
133V00000X | Dietitian, Registered | DI60720921 (Washington) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Association Of University Physicians | 0446162697 | 3017 |
Provider Name | The Association Of University Physicians |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244 |
Mailing Address | Practice Location Address |
---|---|
Mrs Kristine Mika Peterson, RD Po Box 50095, Seattle, WA 98145-5095 Ph: (206) 520-5700 | Mrs Kristine Mika Peterson, RD 1550 N 115th St, Seattle, WA 98133-8401 Ph: (206) 520-5000 |
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