Peimaneh Abdolhosseini
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Kenmore, WA
NPI 1760246367 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1760246367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 61480362 (WA)
- Practice address
- 16734 Juanita Dr NE
Kenmore, WA 98028-4211 - Phone
- (206) 303-0325
- NPI assigned
- Feb 13, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61480362 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 61480362 | WA | Yes |
Addresses
Primary practice location
16734 Juanita Dr NE
Kenmore, WA 98028-4211
Mailing address
16734 Juanita Dr NE
Kenmore, WA 98028-4211
Phone (206) 303-0325
Other names
- Peimaneh Abdolhosseini
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- Duaa Al-Jassim
- Mikaela Noel Aldaco-Fowler
- Mercedes Marie Alice
All providers in Kenmore, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.