KARIN MISAO IDE ARNP NPI 1770508152

NPI Information

  • NPI: 1770508152
  • Provider Name: KARIN MISAO IDE, ARNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6100 NE FOURTH PLAIN BLVD
    VANCOUVER, WA
    ZIP 98661
  • Phone: (360) 891-7300

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NPI Details

Karin Misao Ide, ARNP is a pediatrics nurse practitioner in Vancouver, WA. Karin Misao Ide, ARNP NPI is 1770508152. 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:

6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA
ZIP 98661-830
Phone: (360) 891-7300

The NPI 1770508152 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/13/2006 and was last updated on 7/8/2007.

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
1363LP0200XNurse PractitionerPediatricsAP30006367WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19643560MEDICAIDWASHINGTON
2S85489MEDICARE UPIN
38851678MEDICARE ID-TYPE UNSPECIFIED

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: 11/21/2025

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