Kelli M. Hiraoka
Nurse Practitioner (Family)

Address: 720 8th Ave S, Seattle, WA 98104-3032
Phone: 2067883700

Kelli M. Hiraoka (NPI# 1689041212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1689041212
Entity Type Individual
Full Name Kelli M. Hiraoka
Credential FNP-BC, RN
Gender Female
Practice Address 720 8th Ave S
Seattle
WA 98104-3032
Practice Telephone 2067883700
Mailing Address 7524 35th Ave Sw Apt N106
Seattle
WA 98126-3268
Mailing Telephone 3108699065
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2015-08-31
Last Update Date 2015-08-31

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers AP 60590729 WA

Physician Overview

NPI 1689041212
PAC ID by PECOS 8628379054
Professional Enrollment ID I20151209000680
Full Name Kelli M Hiraoka
Organization Legal Name INTERNATIONAL COMMUNITY HEALTH SERVICES
Phone Number 2067883700
Gender F
Graduation Year 2015
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 5799695672
Number of Group Practice Members 30
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
500025 SWEDISH MEDICAL CENTER / CHERRY HILL

Office Location

Street Address 720 8TH AVE S
City SEATTLE
State WA
Zip Code 98104-3032

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720046410 Aliya S. Haq Dietitian, Registered 720 8th Ave S, International Community Health Services, Seattle, WA 98104 2006-05-02
1831654284 Doris Chung Dietitian, Registered 720 8th Ave S, Seattle, WA 98104-3032 2019-02-08
1770072118 Rachel Tong-siew Koh Pharmacist 720 8th Ave S, Seattle, WA 98104-3032 2018-05-01
1306299326 Hien-thao Phan Social Worker 720 8th Ave S, Seattle, WA 98104-3032 2016-07-14
1356799373 Christine Chan Pharmacist 720 8th Ave S, Seattle, WA 98104-3032 2016-05-31
1841660628 Andy Wong Pharmacist 720 8th Ave S, Seattle, WA 98104-3032 2015-10-06
1780075515 Michael Kander Physician Assistant 720 8th Ave S, Seattle, WA 98104-3032 2015-02-16
1629466842 Emily Tess Johnson Nurse Practitioner 720 8th Ave S, Seattle, WA 98104-3032 2014-12-23
1134526445 Michelle Hoang Dental Hygienist 720 8th Ave S, Seattle, WA 98104 2014-12-02
1952703886 Kimberly Lee Registered Nurse 720 8th Ave S, Seattle, WA 98104-3032 2014-09-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1225540545 Mary Elizabeth Micikas Registered Nurse 515 Minor Ave Ste 170, Seattle, WA 98104 2017-10-26
1033629506 Ashley Negron Registered Nurse Harborview Center for Sexual Assault and Tramautic Stre, 401 Broadway Suite 2075, Seattle, WA 98104 2017-10-10
1770018889 Alison S Bae Student in an Organized Health Care Education/Training Program 325 9th Ave, Mail Stop #359796, 7th Floor Center Tower Room 73.1, Seattle, WA 98104 2017-04-26
1083155329 Seatle Medical Supplies Durable Medical Equipment & Medical Supplies 800 Fifth Avenue, Seafirst Fifth Avenue Plaza, Suite 4100, Seattle, WA 98104 2017-03-20
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699247874 Brien Claes Barrett Nurse Practitioner 10315 Stone Ave N, Seattle, WA 98133-9419 2018-12-28
1417425141 Allison Paige Veidenheimer Nurse Practitioner 404 E Harrison St Apt 103, Seattle, WA 98102-5280 2018-11-12
1730662057 Heather Renee Grods Nurse Practitioner 4409 California Ave Sw Ste 100, Seattle, WA 98116-4916 2018-09-12
1518447473 Manh Duc Pham Nurse Practitioner 102 S 104th St, Seattle, WA 98168-1337 2018-08-20
1790263457 Rachael L Raghunandan Nurse Practitioner 317 Ne Thornton Pl Ste 10a&10, Seattle, WA 98125-8020 2018-08-03
1336625201 Angelica Leybag Nurse Practitioner 1660 S Columbian Way, Ms S-123 PCc, Seattle, WA 98108 2018-07-13
1477044170 Type 1 Health Northwest Pllc Nurse Practitioner 1417 Nw 54th St Ste 444, Seattle, WA 98107-3561 2018-05-29
1689190431 Sandra Edpao Nurse Practitioner 6800 E Green Lake Way N Ste 200, Seattle, WA 98115-5491 2017-08-14
1215463666 Jennifer Lott Nurse Practitioner 3207 Nw 64th St, Seattle, WA 98107-2616 2017-05-04
1063945897 Jubilee Pearl Mattix Nurse Practitioner 3555 Ne 86th St, Apt. C, Seattle, WA 98115-3635 2017-04-08
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Competitor

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City SEATTLE
Zip Code 98104

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Dataset Information

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.

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