Praesto Community Fund

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

603011989 Issued in WA

Legal business name

PRAESTO COMMUNITY FUND

Practice address

5400 Carillon PT
Kirkland, WA 98033-7357

Phone

(480) 559-1004

Fax

(866) 451-6888

NPI assigned

Jun 8, 2010

Organization subpart

No

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

Authorized official

Name

Andrew W. Morrison

Title

President / Founder

Phone

(480) 559-1004

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1285954628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 CARILLON PT",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 CARILLON PT",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980337357",
            "telephone_number": "480-559-1004",
            "fax_number": "866-451-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAESTO COMMUNITY FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-08",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT / FOUNDER",
        "authorized_official_telephone_number": "480-559-1004"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "WA",
            "license": "603011989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leland Poston
• W Mark Potampa, M.D.
• Daniela Potra
• Amanda Claire Potter, MA
• Kaja Powers, CPM, LM
• Melissa A Prasatik, PA-C
• Kathleen Preciado-Partida, MD
• Ramya Premchand, PT
• Kimberly Premetz
• Premise Health of Washington Medical PC

• Health Maintenance Organization in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Health Maintenance Organization in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.