Healthcare Provider Details

I. General information

NPI: 1962861526
Provider Name (Legal Business Name): KARI LYNN LEAL RRT-NPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARI LYNN STOCKSTILL RRT-NPS

II. Dates (important events)

Enumeration Date: 02/10/2016
Last Update Date: 02/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4550 38TH AVE SW APT 301
SEATTLE WA
98126-2772
US

IV. Provider business mailing address

4550 38TH AVE SW APT #301
SEATTLE WA
98126-2768
US

V. Phone/Fax

Practice location:
  • Phone: 714-206-4450
  • Fax:
Mailing address:
  • Phone: 714-206-4450
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2278C0205X
TaxonomyCritical Care Certified Respiratory Therapist
License NumberLR 60595426
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License NumberLR 60595426
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code2279E0002X
TaxonomyEmergency Care Registered Respiratory Therapist
License NumberLR 60595426
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code2279E1000X
TaxonomyEducational Registered Respiratory Therapist
License NumberLR 60595426
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code2279G0305X
TaxonomyGeriatric Care Registered Respiratory Therapist
License NumberLR 60595426
License Number StateWA
# 6
Primary TaxonomyN
Taxonomy Code2279G1100X
TaxonomyGeneral Care Registered Respiratory Therapist
License NumberLR 60595426
License Number StateWA
# 7
Primary TaxonomyN
Taxonomy Code2279P1005X
TaxonomyPulmonary Rehabilitation Registered Respiratory Therapist
License NumberLR 60595426
License Number StateWA
# 8
Primary TaxonomyN
Taxonomy Code2279P3900X
TaxonomyNeonatal/Pediatric Registered Respiratory Therapist
License NumberLR 60595426
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: