Active NPI
Kristine Atwood Avery, RN, BSN, LCCE, FACCE
- Health Educator
- Bainbridge Island, WA
National Provider Identifier
1194056408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- RN 00158069
- Practice address
- 4502 Sorrel Ave NE
Bainbridge Island, WA 98110-4027 - Phone
- (206) 245-6997
- Fax
- (206) 780-0501
- NPI assigned
- Jan 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | RN 00158069 | WA | Primary |
Addresses
Primary practice location
4502 Sorrel Ave NE
Bainbridge Island, WA 98110-4027
Mailing address
4502 Sorrel Ave NE
Bainbridge Island, WA 98110-4027
Phone (206) 245-6997
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
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 00158069 | WA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264464000000",
"number": "1194056408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4502 SORREL AVE NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981104027",
"telephone_number": "206-245-6997",
"fax_number": "206-780-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 SORREL AVE NE",
"city": "BAINBRIDGE ISLAND",
"state": "WA",
"postal_code": "981104027",
"telephone_number": "206-245-6997",
"fax_number": "206-780-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "KRISTINE",
"middle_name": "ATWOOD",
"name_prefix": "Ms.",
"credential": "RN, BSN, LCCE, FACCE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-26",
"last_updated": "2010-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "WA",
"license": "RN 00158069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bainbridge Island, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.