Active NPI
Kristen Elaine Zorn, COTA/L
- Developmental - Behavioral Pediatrics Physician
- Bothell, WA
National Provider Identifier
1083377857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- OC61223176
- Practice address
- 18504 Bothell Way NE
Bothell, WA 98011-1927 - Phone
- (425) 481-1933
- NPI assigned
- Oct 19, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | OC61223176 | WA | Primary |
Addresses
Primary practice location
18504 Bothell Way NE
Bothell, WA 98011-1927
Mailing address
18504 Bothell Way NE
Bothell, WA 98011-1927
Phone (425) 481-1933
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC61223176 | WA | MD | Developmental - Behavioral Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1083377857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18504 BOTHELL WAY NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980111927",
"telephone_number": "425-481-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18504 BOTHELL WAY NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980111927",
"telephone_number": "425-481-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZORN",
"first_name": "KRISTEN",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "WA",
"license": "OC61223176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.