Active NPI
Aliza Kreisman, ARNP
- Family Nurse Practitioner
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60759987
- Practice address
- 11020 19TH Avenue SE
Kaiser Permanente of Washington Seattle Care Clinic
Everett, WA 98208 - Phone
- (206) 988-2073
- NPI assigned
- May 12, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60297560 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60759987 | WA | Primary |
Addresses
Primary practice location
11020 19TH Avenue SE
Kaiser Permanente of Washington Seattle Care Clinic
Everett, WA 98208
Mailing address
6843 Oswego PL NE
Seattle, WA 98115-6455
Phone (360) 302-0441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of Washington School of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15911 Westminster Way N
Shoreline, WA 98133-5929
Phone (864) 664-3984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60297560 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Peacehealth Networks on Demand, LLC | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Zoomcare PC | Past | Accepting new patients |
Locations (25 of 30)
1455 NW Irving St
Ste 600
Portland, OR 97209
Phone (702) 388-4512
10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151
10425 NE 8th St
Bellevue, WA 98004
17017 SE 270th Pl
Ste C113
Covington, WA 98042
22019 Highway 99
Ste 120
Edmonds, WA 98026
221 Everett Mall Way
Unit M3
Everett, WA 98204
11020 19th Ave SE
Everett, WA 98208
Phone (425) 337-3197
2930 Maple St
Everett, WA 98201
Phone (425) 261-1500
19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036
2010 148th Ave NE
Redmond, WA 98052
2010 148th Ave NE
Ste 150
Redmond, WA 98052
624 N 34th St
#104
Seattle, WA 98103
2301 2nd Ave
Seattle, WA 98121
Phone (398) 486-4664
4012 SW Alaska St
Seattle, WA 98116
517 Union St
Seattle, WA 98101
1909 Queen Anne Ave N
Seattle, WA 98109
2038 NW Market St
Seattle, WA 98107
1570 W Armory Way
Ste 102
Seattle, WA 98119
200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530
4540 University Way NE
Seattle, WA 98105
624 N 34th St
Unit 104
Seattle, WA 98103
531 Broadway E
Ste 10
Seattle, WA 98102
116 Westlake Ave N
Seattle, WA 98109
15911 Westminster Way N
Shoreline, WA 98133
9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800
Interoperability endpoints
- https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
- aliza.kreisman.1@30646.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Multi-Specialty Clinic/Center
- Renton, WA
- NPI 1669619870
-
- Internal Medicine Physician
- Portland, OR
- NPI 1689647372
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494547200000",
"number": "1114454865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6843 OSWEGO PL NE",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981156455",
"telephone_number": "360-302-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11020 19TH AVENUE SE",
"address_2": "KAISER PERMANENTE OF WASHINGTON SEATTLE CARE CLINIC",
"city": "EVERETT",
"state": "WA",
"postal_code": "98208",
"telephone_number": "206-988-2073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREISMAN",
"first_name": "ALIZA",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-12",
"last_updated": "2017-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60297560",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60759987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.