STACEY LYNN KLONTZ MN ARNP NPI 1629328000

NPI Information

NPI: 1629328000
Provider Name: STACEY LYNN KLONTZ, MN, ARNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
4800 SAND POINT WAY NE
M/S 103 CCMS
SEATTLE, WA
ZIP 98105
Phone: (206) 987-6700
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Stacey Lynn Klontz, MN, ARNP is a pediatrics nurse practitioner in Seattle, WA. Stacey Lynn Klontz, MN, ARNP NPI is 1629328000. 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:

4800 SAND POINT WAY NE
M/S 103 CCMS
SEATTLE, WA
ZIP 98105-901
Phone: (206) 987-6700

The NPI 1629328000 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/13/2012 and was last updated on 9/13/2012.

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
1	363LP0200X	Nurse Practitioner	Pediatrics	AP60302031	WASHINGTON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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