KIMBERLY KAY OLATAWURA SUDPT NPI 1063124758

NPI Information

  • NPI: 1063124758
  • Provider Name: KIMBERLY KAY OLATAWURA, SUDPT
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 16715 AURORA AVE N STE 102
    SHORELINE, WA
    ZIP 98133
  • Phone: (206) 546-9766

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NPI Details

Kimberly Kay Olatawura, SUDPT is an addiction (substance use disorder) counselor in Shoreline, WA. Kimberly Kay Olatawura, SUDPT NPI is 1063124758. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16715 AURORA AVE N STE 102
SHORELINE, WA
ZIP 98133-310
Phone: (206) 546-9766
Fax: (206) 542-0326

The enumeration date for this NPI number is 12/14/2022 and was last updated on 12/14/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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