MS. KIMBERLY 'KIMMER' VERLYNN COLLISON-RIS MSN ARNP WOCN NPI 1124149026

NPI Information

NPI: 1124149026
Provider Name: MS. KIMBERLY 'KIMMER' VERLYNN COLLISON-RIS, MSN, ARNP, WOCN
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
16425 48TH AVE W
SUITE 215
LYNNWOOD, WA
ZIP 98037
Phone: (425) 210-4187
Get Directions

MS. Kimberly 'kimmer' Verlynn Collison-ris, MSN, ARNP, WOCN is a family nurse practitioner in Lynnwood, WA. MS. Kimberly 'kimmer' Verlynn Collison-ris, MSN, ARNP, WOCN NPI is 1124149026. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16425 48TH AVE W
SUITE 215
LYNNWOOD, WA
ZIP 98037
Phone: (425) 210-4187
Fax: (425) 361-1704

The NPI 1124149026 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 7/29/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SF0001X	Clinical Nurse Specialist	Family Health	AP30006553	WASHINGTON	No
2	364SH1100X	Clinical Nurse Specialist	Holistic	AP30006553	WASHINGTON	No
3	364SM0705X	Clinical Nurse Specialist	Medical-Surgical	AP30006553	WASHINGTON	No
4	364SP2800X	Clinical Nurse Specialist	Perioperative	AP30006553	WASHINGTON	No
5	364SR0400X	Clinical Nurse Specialist	Rehabilitation	A	WASHINGTON	No
6	363LF0000X	Nurse Practitioner	Family	AP30006553	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	8800671	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
2	5783CO	OTHER	WASHINGTON	REGENCE BLUE SHIELD
3	Q06160	MEDICARE UPIN	WASHINGTON
4	911950338	OTHER	WASHINGTON	TAX ID # & BLUE CROSS #
5	911950338	OTHER	WASHINGTON	ID # ALL OTHER INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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