| Nvelup Telehealth Pllc | |
|
1455 Northwest Leary Way West Woodland, Suite 400-#101 Seattle WA 98107-9810 | |
| (509) 242-9202 | |
| (509) 769-5040 |
| Full Name | Nvelup Telehealth Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1455 Northwest Leary Way, Seattle, Washington |
| Authorized Official Name and Position | Sheri Cecchini (BUSINESS MANAGER) |
| Authorized Official Contact | 5092429202 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nvelup Telehealth Pllc 1455 Northwest Leary Way West Woodland, Suite 400-#101 Seattle WA 98107-2110 Ph: (509) 242-9202 | Nvelup Telehealth Pllc 1455 Northwest Leary Way West Woodland, Suite 400-#101 Seattle WA 98107-9810 Ph: (509) 242-9202 |
| NPI Number | 1356952766 |
|---|---|
| Provider Enumeration Date | 08/11/2020 |
| Last Update Date | 03/12/2023 |
| Certification Date | 03/12/2023 |
| Medicare PECOS PAC ID | 7719398569 |
|---|---|
| Medicare Enrollment ID | O20201130000924 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356952766 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kristina N Callender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083910590 PECOS PAC ID: 5294917068 Enrollment ID: I20110315000998 |
| Provider Name | Ginette Didomenico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558764233 PECOS PAC ID: 8325362569 Enrollment ID: I20150119000205 |
| Provider Name | Debra J Peasley |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1033291356 PECOS PAC ID: 5092744813 Enrollment ID: I20190415000080 |
| Provider Name | Xin Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912539099 PECOS PAC ID: 6901218478 Enrollment ID: I20201208001258 |
| Provider Name | Amber Rose Curtis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386215846 PECOS PAC ID: 8527456862 Enrollment ID: I20211019002640 |
| Provider Name | Jalane Caroland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316367279 PECOS PAC ID: 2567841091 Enrollment ID: I20220614000542 |
| Provider Name | Shenise Seabrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033526231 PECOS PAC ID: 5193049294 Enrollment ID: I20221228001526 |
| Provider Name | Sara Zajac |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770904732 PECOS PAC ID: 6800261470 Enrollment ID: I20230412003072 |
| Provider Name | Ghislaine Tonye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679160949 PECOS PAC ID: 6800255894 Enrollment ID: I20230710000691 |
| Provider Name | Karen Schaaf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295704484 PECOS PAC ID: 8628099561 Enrollment ID: I20230804000219 |
| Provider Name | Vanessa Hutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720723851 PECOS PAC ID: 5799155164 Enrollment ID: I20230810001474 |
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