Healthcare Provider Details
I. General information
NPI: 1386827954
Provider Name (Legal Business Name): KATE ELIZA NIELSON M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/06/2007
Last Update Date: 12/06/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
34617 11TH PLACE S SUITE 101
FEDERAL WAY WA
98003-8706
US
IV. Provider business mailing address
34617 11TH PLACE S SUITE 101
FEDERAL WAY WA
98003-8706
US
V. Phone/Fax
- Phone: 253-838-8516
- Fax: 253-838-8517
- Phone: 253-838-8516
- Fax: 253-838-8517
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | LD00003824 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 716 |
| License Number State | MA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | A-197 |
| License Number State | NV |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 1139 |
| License Number State | MT |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | DA5218 |
| License Number State | AZ |
| # 6 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AUD-1544 |
| License Number State | ID |
| # 7 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AU2481 |
| License Number State | CA |
| # 8 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 80043 |
| License Number State | TX |
| # 9 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | A.01592 |
| License Number State | OH |
| # 10 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 0986A |
| License Number State | AL |
| # 11 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 2007005535 |
| License Number State | MO |
| # 12 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | 514-156 |
| License Number State | WI |
| # 13 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | 373 |
| License Number State | MT |
| # 14 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | HA7260 |
| License Number State | CA |
| # 15 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | 2007018549 |
| License Number State | MO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone:
