Active NPI
Gretchen A Kaizer, PA, RN
- Medical Physician Assistant
- Yakima, WA
National Provider Identifier
1538196654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1005039
- Practice address
- 406 S. 30TH Ave
Suite 101
Yakima, WA 98902 - Phone
- (509) 248-7715
- Fax
- (509) 248-2890
- NPI assigned
- Jun 26, 2006
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA1005039 | WA | Primary |
Addresses
Primary practice location
406 S. 30TH Ave
Suite 101
Yakima, WA 98902
Mailing address
406 S. 30TH Ave
Suite 101
Yakima, WA 98902
Phone (509) 248-7715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8454266 | Medicaid | WA |
Other names 1
- Gretchen A Brown
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, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA1005039 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Basin Anesthesia, PLLC | Past | Accepting new patients | |
| St. Alexius Heart & Lung Clinic, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Bismarck, ND
- NPI 1952413585
-
- Cardiovascular Disease Physician
- Bismarck, ND
- NPI 1194823021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1382572800000",
"number": "1538196654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 S. 30TH AVE",
"address_2": "SUITE 101",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-248-7715",
"fax_number": "509-248-2890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 S. 30TH AVE",
"address_2": "SUITE 101",
"city": "YAKIMA",
"state": "WA",
"postal_code": "98902",
"telephone_number": "509-248-7715",
"fax_number": "509-248-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAIZER",
"first_name": "GRETCHEN",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PA, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2013-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA1005039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8454266",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GRETCHEN",
"last_name": "BROWN",
"middle_name": "A",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.