Active NPI
Kristeen Lee Budreau, PA-C
- Physician Assistant
- Bellevue, WA
National Provider Identifier
1164569315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601006285
- Practice address
- 6639 161St Ave SE
Unit B
Bellevue, WA 98006-5687 - Phone
- (616) 328-1190
- NPI assigned
- Jan 30, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601006285 | MI | Primary |
Addresses
Primary practice location
6639 161St Ave SE
Unit B
Bellevue, WA 98006-5687
Mailing address
6639 161St Ave SE
Unit B
Bellevue, WA 98006-5687
Phone (616) 328-1190
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)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487635200000",
"number": "1164569315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6639 161ST AVE SE",
"address_2": "UNIT B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980065687",
"telephone_number": "616-328-1190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6639 161ST AVE SE",
"address_2": "UNIT B",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980065687",
"telephone_number": "616-328-1190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDREAU",
"first_name": "KRISTEEN",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2017-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601006285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.