Individual provider Active NPI

Aliza Kreisman, ARNP

  • Family Nurse Practitioner
  • Everett, WA
National Provider Identifier
1114454865
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60759987 Issued in WA
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

Updated by the provider on May 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711001607 WA Practitioner - Nurse Practitioner 5991074783 Reassigns benefits to 2 organizations

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
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

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

LicenseStateTypeSpecialty
RN60297560WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jun 6, 2017 Accepting new patients
Peacehealth Networks on Demand, LLC CurrentSince Jul 22, 2024 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Jun 6, 2017 Accepting new patients
Zoomcare PC PastSince Jul 22, 2024 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

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.