Marta Lee Krissovich, ANP-BC, CWOCN-AP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

N260535011 Issued in WA

Practice address

151 Sunset Blvd
Port Townsend, WA 98368-8913

Phone

(360) 316-6306

NPI assigned

Dec 4, 2006

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Marta L. Patmas Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1710045778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 SUNSET BLVD",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983688913",
            "telephone_number": "360-316-6306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 SUNSET BLVD",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983688913",
            "telephone_number": "360-316-6306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISSOVICH",
        "first_name": "MARTA",
        "middle_name": "LEE",
        "credential": "ANP-BC, CWOCN-AP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "N260535011",
            "primary": true
        },
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "WA",
            "license": "RN60533319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTA",
            "last_name": "PATMAS",
            "middle_name": "L.",
            "credential": "RN, MSN, CCCN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Koan
• Glen Wayne Koch, LMT
• Anne Elizabeth Koomen, ARNP
• Joshua Kraetsch, LMHC
• Mary Beth Krehbiel
• Vanessa D Kroger, MA
• Dimitri D Kuznetsov, MD
• L'Chaim LLC (Bear Root Apothecary)
• Peter Paul Lack
• Robert Laitman

• Adult Health Nurse Practitioner in Port Townsend, WA
• Providers in Port Townsend, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.