Kerrie Steffan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00005228 Issued in WA

Practice address

1415 E Kincaid St
Mount Vernon, WA 98274-4126

Phone

(360) 814-2184

Fax

(360) 814-5515

NPI assigned

Jun 19, 2019

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

Other names 1

• Kerrie Donegan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Public Hospital Dist No 1 Skagit

  dba Skagit Regional Clinics

  • General Practice Physician
  • Mount Vernon, WA
  • NPI 1023332749
  NPD

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1932769007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744126",
            "telephone_number": "360-814-2184",
            "fax_number": "360-814-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E KINCAID ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982744126",
            "telephone_number": "360-814-2184",
            "fax_number": "360-814-5515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 Hoag Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982735626",
            "country_code": "US",
            "telephone_number": "360-814-2184",
            "fax_number": "360-814-5515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEFFAN",
        "first_name": "KERRIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00005228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRIE",
            "last_name": "DONEGAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Lynn Stahlberg, FNP
• Jennifer Stamm, DCSW ACSW MSW LICSW
• Troy Glen Stang, MS, PT
• William Fred Stanley, MD
• Daniela Starr
• Kayla Steltz, DNP
• Donald M Stevens, PHD
• Dana Stewart
• Robert B. Stewart, MD
• Kenneth Irwin Stone, MD

• Physical Therapist in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.