1861826265 NPI number — KATHRYN AVERSENTI SCHUMAKER MA, LMHC, ATR

Table of content: DR. SRINIVAS MURTHY MD (NPI 1639337819)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861826265 NPI number — KATHRYN AVERSENTI SCHUMAKER MA, LMHC, ATR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCHUMAKER
Provider First Name:
KATHRYN
Provider Middle Name:
AVERSENTI
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MA, LMHC, ATR
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
SCHUMAKER
Provider Other First Name:
KATY
Provider Other Middle Name:
AVERSENTI
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LMHC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1861826265
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/20/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
652 SW 150TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BURIEN
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98166-4612
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-948-5289
Provider Business Mailing Address Fax Number:
206-838-5511

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
652 SW 150TH ST
Provider Second Line Business Practice Location Address:
SUITE D
Provider Business Practice Location Address City Name:
BURIEN
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98166-4612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-948-5289
Provider Business Practice Location Address Fax Number:
206-838-5511
Provider Enumeration Date:
08/21/2013

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  60335665 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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