Crown Health | |
6811 S 204th St Ste 280 Kent WA 98032-1352 | |
(888) 674-5871 | |
(206) 694-2291 |
Full Name | Crown Health |
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Speciality | Family Medicine |
Location | 6811 S 204th St Ste 280, Kent, Washington |
Authorized Official Name and Position | Amy M Warner (OWNER/NP) |
Authorized Official Contact | 5592307064 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Crown Health 6811 S 204th St Ste 280 Kent WA 98032-1352 Ph: (888) 674-5871 | Crown Health 6811 S 204th St Ste 280 Kent WA 98032-1352 Ph: (888) 674-5871 |
NPI Number | 1750921193 |
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Provider Enumeration Date | 01/14/2020 |
Last Update Date | 08/12/2021 |
Medicare PECOS PAC ID | 1557790896 |
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Medicare Enrollment ID | O20200407002530 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750921193 | NPI | - | NPPES |
Provider Name | Mary G Shelkey |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447314802 PECOS PAC ID: 7416844691 Enrollment ID: I20040302001004 |
Provider Name | Margaret R Adam |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1700812237 PECOS PAC ID: 9032105796 Enrollment ID: I20040420001760 |
Provider Name | Mary L Borgstadt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1407828569 PECOS PAC ID: 6305885260 Enrollment ID: I20050429000272 |
Provider Name | Helen M Schmidt |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1477654424 PECOS PAC ID: 9931149051 Enrollment ID: I20050509000604 |
Provider Name | Raymond Joseph Hutson |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1851459986 PECOS PAC ID: 2365547510 Enrollment ID: I20070417000132 |
Provider Name | Donna S Longpre |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093836850 PECOS PAC ID: 3274609003 Enrollment ID: I20080902000597 |
Provider Name | Leigh T Moseman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962849760 PECOS PAC ID: 4981846474 Enrollment ID: I20130813000482 |
Provider Name | Laura Elizabeth Uhlmansiek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073945606 PECOS PAC ID: 1557584646 Enrollment ID: I20140516001835 |
Provider Name | Edelweiss Von Maack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093128860 PECOS PAC ID: 1850515354 Enrollment ID: I20140623002115 |
Provider Name | Rebecca S Waggoner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144612508 PECOS PAC ID: 8123332962 Enrollment ID: I20150806011591 |
Provider Name | Christopher Gia Duong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033586532 PECOS PAC ID: 7012225030 Enrollment ID: I20150924001522 |
Provider Name | Tamas Ungar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891040572 PECOS PAC ID: 2769792597 Enrollment ID: I20151106002373 |
Provider Name | Mariena Mears |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417325093 PECOS PAC ID: 4981983491 Enrollment ID: I20161123001826 |
Provider Name | Haley Lynn Key |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134506660 PECOS PAC ID: 0446559967 Enrollment ID: I20170407000894 |
Provider Name | Baby Nellie Tamayo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376081836 PECOS PAC ID: 1850668369 Enrollment ID: I20170602002175 |
Provider Name | Michelle Marie Waldron |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194064535 PECOS PAC ID: 8426366170 Enrollment ID: I20170614001185 |
Provider Name | Amy Warner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972032845 PECOS PAC ID: 3072885375 Enrollment ID: I20170822001421 |
Provider Name | Rachel Elizabeth Laura Malof |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114420734 PECOS PAC ID: 4587927132 Enrollment ID: I20180412000045 |
Provider Name | Guenever Nadine Parsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609230333 PECOS PAC ID: 6507103116 Enrollment ID: I20190121000336 |
Provider Name | Mary A. Gumbo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962928861 PECOS PAC ID: 6800129982 Enrollment ID: I20190604002224 |
Provider Name | Coreen J Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740236561 PECOS PAC ID: 0244240141 Enrollment ID: I20191119002908 |
Provider Name | Harmony S Kroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306487772 PECOS PAC ID: 6709219629 Enrollment ID: I20191209000205 |
Provider Name | Briana Hodson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750929600 PECOS PAC ID: 9739514514 Enrollment ID: I20200124001857 |
Provider Name | Muna I Osman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578031266 PECOS PAC ID: 0840627451 Enrollment ID: I20200220001197 |
Provider Name | Gibril Kargbo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609386440 PECOS PAC ID: 7416214564 Enrollment ID: I20200324001967 |
Provider Name | Angelina Abrahamson Laforteza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952873515 PECOS PAC ID: 1355770637 Enrollment ID: I20200408000757 |
Provider Name | Sheridan Fitzgerald Reiger |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1518349174 PECOS PAC ID: 2567778434 Enrollment ID: I20200513002812 |
Provider Name | Christina M Nelson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386279149 PECOS PAC ID: 0446672851 Enrollment ID: I20200611002570 |
Provider Name | Rachel A Ferrari |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730703679 PECOS PAC ID: 9234556473 Enrollment ID: I20200902000798 |
Provider Name | Michelle Ann Rorie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841802675 PECOS PAC ID: 5496173700 Enrollment ID: I20200918001444 |
Provider Name | Azeb Negussie Zeleke |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073135661 PECOS PAC ID: 1557781226 Enrollment ID: I20201019001259 |
Provider Name | Yanique Ricie N Yakam Azah |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700485919 PECOS PAC ID: 7618389412 Enrollment ID: I20201221001451 |
Provider Name | Miriam Neema Bagalwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144812009 PECOS PAC ID: 2466869698 Enrollment ID: I20210405002144 |
Provider Name | Lori Crane |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487245734 PECOS PAC ID: 1658788740 Enrollment ID: I20210408001311 |
Provider Name | Ramanjot Grewal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164015616 PECOS PAC ID: 4587073366 Enrollment ID: I20210506003010 |
Provider Name | Sarah Michelle Stein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003408063 PECOS PAC ID: 5698184133 Enrollment ID: I20210512002920 |
Provider Name | Richanne F Cunningham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548848328 PECOS PAC ID: 0143639633 Enrollment ID: I20210513001326 |
Provider Name | Jamie Cline |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588247167 PECOS PAC ID: 8325448228 Enrollment ID: I20210615001459 |
Provider Name | Katherine Rose Wiken |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083238745 PECOS PAC ID: 5092116285 Enrollment ID: I20210624003854 |
Provider Name | Tanya J Neely |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760008908 PECOS PAC ID: 3476954686 Enrollment ID: I20210625000576 |
Provider Name | Stephanie N Schow |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629686993 PECOS PAC ID: 7416355763 Enrollment ID: I20211018001546 |
Provider Name | Alyssa A Ochsner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649949306 PECOS PAC ID: 1557759537 Enrollment ID: I20211025000360 |
Provider Name | Tackesha Tanesha Thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487244711 PECOS PAC ID: 3173914397 Enrollment ID: I20211223001593 |
Provider Name | Sara Meyer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659748028 PECOS PAC ID: 0446560304 Enrollment ID: I20220117000554 |
Provider Name | Swapna Dutta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669133435 PECOS PAC ID: 2365834561 Enrollment ID: I20220120001867 |
Provider Name | Babette Denaine Hairston |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457987778 PECOS PAC ID: 2567854342 Enrollment ID: I20220128001317 |
Provider Name | Uyen N Nguyen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699432666 PECOS PAC ID: 8325431109 Enrollment ID: I20220201000396 |
Provider Name | Nicole Claire Brucker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316696297 PECOS PAC ID: 8527447861 Enrollment ID: I20220616002783 |
Provider Name | Brenda Michelle Mckenzie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003551425 PECOS PAC ID: 8921481946 Enrollment ID: I20220823003912 |
Provider Name | Annie Lynda Houendjou Badjio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013635614 PECOS PAC ID: 7113303165 Enrollment ID: I20220929000364 |
Provider Name | Gagandeep Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639734700 PECOS PAC ID: 8224406160 Enrollment ID: I20221123002778 |
Provider Name | Amber Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831812098 PECOS PAC ID: 4880063478 Enrollment ID: I20221202000926 |
Provider Name | Christine Cavazos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922417971 PECOS PAC ID: 1557580560 Enrollment ID: I20221207001658 |
Provider Name | Katharine Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598337180 PECOS PAC ID: 6507261534 Enrollment ID: I20221208002085 |
Provider Name | Esther Spataro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619611415 PECOS PAC ID: 4688045735 Enrollment ID: I20230127000852 |
Provider Name | Connie Chien |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093482937 PECOS PAC ID: 3476950643 Enrollment ID: I20230209001620 |
Provider Name | Janet Gorham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265604557 PECOS PAC ID: 3971674490 Enrollment ID: I20230419000275 |
Provider Name | Thomas Norby |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811994247 PECOS PAC ID: 9133133291 Enrollment ID: I20230502000741 |
Provider Name | Sheila O Lyons |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902536741 PECOS PAC ID: 7113383324 Enrollment ID: I20230512002387 |
Provider Name | Augusta Mantey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326642901 PECOS PAC ID: 1052778495 Enrollment ID: I20230531000977 |
Provider Name | Christian Vanscherpenseel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255017836 PECOS PAC ID: 3375905078 Enrollment ID: I20230811002348 |
Provider Name | Amy N Whitehouse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124494984 PECOS PAC ID: 1456660307 Enrollment ID: I20230912002934 |
Provider Name | Evgeniya Berger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891351334 PECOS PAC ID: 4880042100 Enrollment ID: I20231128001271 |
Provider Name | Timothy K Puri |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1235458092 PECOS PAC ID: 8729261557 Enrollment ID: I20240307003358 |
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