MASAKO KOMIYAMA LICSW ARNP NPI 1790113413

NPI Information

NPI: 1790113413
Provider Name: MASAKO KOMIYAMA, LICSW, ARNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: ASIAN COUNSELING AND REFERRAL SERVICE

PECOS Registration: Yes

Address:
3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA
ZIP 98144
Phone: (206) 695-7600
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Masako Komiyama, LICSW, ARNP is a psychiatric/mental health nurse practitioner in Seattle, WA with 5 years of experience. Masako Komiyama, LICSW, ARNP NPI is 1790113413. 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:

3639 MARTIN LUTHER KING JR WAY S
SEATTLE, WA
ZIP 98144
Phone: (206) 695-7600
Fax: (206) 695-7606

The NPI 1790113413 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 10/15/2013 and was last updated on 10/10/2019.

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	1041C0700X	Social Worker	Clinical	743080021	WASHINGTON	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP60994940	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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