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KARISSA KAYLEEN COUNCILL-TRINIDAD MA00021954 NPI 1871972380


NPI Information

NPI: 1871972380
Provider Name: KARISSA KAYLEEN COUNCILL-TRINIDAD, MA00021954
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
3223 TULALIP AVE
EVERETT, WA
ZIP 98201
Phone: (425) 293-2639
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Karissa Kayleen Councill-trinidad, MA00021954 is a specialist in Everett, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Karissa Kayleen Councill-trinidad, MA00021954 NPI is 1871972380. 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:

3223 TULALIP AVE
EVERETT, WA
ZIP 98201-155
Phone: (425) 293-2639

The enumeration date for this NPI number is 5/29/2015 and was last updated on 5/29/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistMA00021954WASHINGTONYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.