Kimberly Dajanna Henriquez

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN61050114 Issued in WA

Practice address

1410 NE Campus Pkwy
Seattle, WA 98195-0003

Phone

(206) 543-2100

NPI assigned

Jul 31, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1790466738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10018 8TH AVE NE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257406",
            "telephone_number": "410-564-6953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 NE CAMPUS PKWY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981950003",
            "telephone_number": "206-543-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRIQUEZ",
        "first_name": "KIMBERLY",
        "middle_name": "DAJANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN61050114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael S Henrie, O.D.
• Elaine Henriksen, ARNP
• Stephanie L Henriksen, PTA
• Alicia Fernanda Henriquez, MD
• Javiera P. Henriquez
• Henry Phan
• Allyson I Henry, MA
• Amy J Henry
• Carol Janet Henry, PH.D.
• Catrina Henry

• Registered Nurse in Seattle, WA
• Providers in Seattle, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.