NPIMap

Organization Active NPI

Kzta

  • Student in an Organized Health Care Education/Training Program
  • Puyallup, WA
National Provider Identifier
1033062468
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
KZTA
Practice address
417 E Pioneer Ste B
Puyallup, WA 98372-3267
Phone
(253) 285-8673
NPI assigned
Feb 16, 2026
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Devan Krishtan Martin, AACNPI 1417870080
Title
Councler
Phone
(253) 508-4940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

417 E Pioneer Ste B
Puyallup, WA 98372-3267

Mailing address

417 E Pioneer Ste B
Puyallup, WA 98372-3267
Phone (253) 285-8673

National Provider Directory

National Provider Directory

Locations

417 E Pioneer
Ste B
Puyallup, WA 98372
Phone (253) 285-8673

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1033062468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 E PIONEER STE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723267",
            "telephone_number": "253-285-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 E PIONEER STE B",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723267",
            "telephone_number": "253-285-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KZTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_middle_name": "KRISHTAN",
        "authorized_official_title_or_position": "COUNCLER",
        "authorized_official_telephone_number": "253-508-4940",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AAC"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.