Physician Compare National (NPI:1497927297)

HEALTHCARE PROVIDER: KATIE ELISE CLARKSON MSN, ARNP, BC

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1497927297
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163611625
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110113001164
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CLARKSON
	Individual professional last name
Provider First Name	KATIE
	Individual professional first name
Provider Middle Name	E
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1020 ANDERSON DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 203
	Group Practice or individual's line 2 address
City	ABERDEEN
	Group Practice or individual's city
State	WA
	Group Practice or individual's state
Zip Code	985201055
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3605336063
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	500031
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRAYS HARBOR COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	501304
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SUMMIT PACIFIC MEDICAL CENTER-SWING BED UNIT
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y