NICOLE PREVO KAGEYAMA M.D., NPI 1407858665
Dermatology in RENTON, WA
Last Updated on : Sep 07,2017
About NICOLE PREVO KAGEYAMA (NPI 1407858665)
NICOLE PREVO KAGEYAMA is a Dermatology provider in RENTON, United States. Her medical specialization is Dermatology .
1407858665 is NPI number of NICOLE PREVO KAGEYAMA.
NICOLE PREVO KAGEYAMA's primary taxonomy code based on NPI Lookup is 207N00000X with license number MD00046078. This taxonomy code refers to Dermatology.
NICOLE PREVO KAGEYAMA has more than 17 years of experience.
NICOLE PREVO KAGEYAMA current practice location address is 1412 SW 43RD ST STE 205, RENTON, WA. NICOLE PREVO KAGEYAMA can be reached out via phone at 425-264-0660 and via fax at 425-264-0601 .
You can also correspond with NICOLE PREVO KAGEYAMA through mail at mailing address 1200 112TH AVE NE, BELLEVUE, WA, United States. Mailing address contact number is 425-457-7900.
The enumeration date of NICOLE PREVO KAGEYAMA is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 6 years ago.1407858665 NPI Information
Basic NPI information of NICOLE PREVO KAGEYAMA (NPI 1407858665) is provided below.
| Name | NICOLE PREVO KAGEYAMA |
|---|---|
| National Provider Id (NPI) | 1407858665 |
| Entity Type | Individual |
| Gender | F |
| Credential | M.D. |
| Practice Address | 1412 SW 43RD ST STE 205,
RENTON, WA, United States |
| Practice Telephone | 425-264-0660 |
| Practice Fax Number | 425-264-0601 |
| Mailing Address | 1200 112TH AVE NE ,
SUITE C-187
BELLEVUE, WA, United States |
| Mailing Telephone | 425-457-7900 |
| Mailing Fax Number | 425-457-7499 |
| Enumeration Date | 01-Jun-2005 |
| Last Updated Date | 07-Sep-2017 |
NICOLE PREVO KAGEYAMA (NPI 1407858665) Primary Taxonomy Information
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD00046078 | WA |
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
NICOLE PREVO KAGEYAMA (NPI 1407858665) Secondary Taxonomy Information
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs, the license data is associated to each taxonomy code.
| Primary | Taxonomy Code | Clasification | License Number | License State |
|---|---|---|---|---|
| N | 207ND0900X | Dermatology, Dermatopathology | MD00046078 | WA |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type/Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00301940 | Other (non-Medicare) (01) | WA | RailRoad Medicare |
NICOLE PREVO KAGEYAMA (NPI 1407858665) Office Location
Office location of NICOLE PREVO KAGEYAMA is provided in the Google maps below.Providers in same location
Here are a few of the other providers in the same location.
| NPI | Name | Taxonomy | Address | Enumeration date |
|---|---|---|---|---|
| 1487717898 | 1ST AVENUE PHARMACY INC. DBA GENOA HEALTHCARE LLC | Pharmacy, Clinic Pharmacy | 6 E 1ST AVE,
SPOKANE, WA, United States |
18-Dec-2006 |
| 1801105101 | 20/20 VISION CARE, LLC | Optometrist | PO BOX 58971,
RENTON, WA, United States |
04-Oct-2010 |
| 1316447758 | 3D ENDODONTICS | Dentist, Endodontics | 451 DUVALL AVE NE STE 120,
RENTON, WA, United States |
12-Feb-2018 |
| 1124803481 | A MAJE MANOR ADULT FAMILY HOME LLC | In Home Supportive Care | 12912 SE 186TH ST,
RENTON, WA, United States |
25-Aug-2023 |
| 1457723587 | A RENEWAL CENTER LLC | Exclusive Provider Organization | 533 REDMOND PL NE,
RENTON, WA, United States |
28-Oct-2015 |
| 1801098397 | A&H STORES INC. | Pharmacy, Community/Retail Pharmacy | 1420 MAPLE AVE SW,
RENTON, WA, United States |
05-Jun-2007 |
| 1518169010 | A&H STORES INC. | Pharmacy, Community/Retail Pharmacy | 1420 MAPLE AVE SW,
RENTON, WA, United States |
05-Jun-2007 |
| 1861694366 | A&H STORES INC. | Pharmacy, Community/Retail Pharmacy | 1420 MAPLE AVE SW,
RENTON, WA, United States |
05-Jun-2007 |
| 1356693907 | AAH HEALTH AND WELLNESS | Health Maintenance Organization | PO BOX 24171,
SEATTLE, WA, United States |
06-Oct-2012 |
| 1346507779 | ANNA LEE AARHUS | Registered Nurse | 814 NORTH 3RD STREET,
RENTON, WA, United States |
23-Apr-2012 |
| 1053395590 | JOSEPH TAYLOR AARON | Chiropractor | 3507 NE SUNSET BLVD,
RENTON, WA, United States |
29-Nov-2005 |
| 1447524947 | JANET ABBOTT | Pharmacist | 17801 108TH AVE SE,
RENTON, WA, United States |
01-Mar-2012 |
| 1225394935 | JESSE ABBOTT KLAFTER | Internal Medicine | 400 S 43RD ST,
RENTON, WA, United States |
06-Apr-2012 |
| 1578948923 | ABC PHYSICAL THERAPY | Clinic/Center, Physical Therapy | 3502 S 12TH ST,
SUITE B TACOMA, WA, United States |
28-Jul-2015 |
| 1144968702 | SILLVANNA ABDU | Counselor | 325 W GOWE ST,
KENT, WA, United States |
24-May-2022 |
| 1104406008 | AMAL ABDULRAHMAN | Social Worker, Clinical | 14815 200TH AVE SE,
RENTON, WA, United States |
13-Apr-2021 |
| 1255945390 | JAMES DANIEL ABEL | Optometrist | 15902 98TH AVE NE,
BOTHELL, WA, United States |
05-Sep-2020 |
| 1316631450 | DEJENE FENTA ABETEW | Family Medicine, Geriatric Medicine | 17819 112TH AVE SE,
RENTON, WA, United States |
02-Jun-2023 |
| 1003991837 | SUMAM MARION ABRAHAM | Family Medicine | 275 BRONSON WAY NE,
RENTON, WA, United States |
27-Oct-2006 |
| 1437114576 | KELVYN ABRAMOWITZ | Anesthesiology | 5300 TALLMAN AVE NW,
OR SWEDISH MEDICAL CENTER BALLARD SEATTLE, WA, United States |
20-Apr-2006 |
How to check whether NPI 1063496693 is valid?
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FAQs
Whose NPI Number is 1407858665?1407858665 is the NPI number of NICOLE PREVO KAGEYAMA.
What is the specialty for NICOLE PREVO KAGEYAMA?The Specialty of NICOLE PREVO KAGEYAMA is Dermatology.
NPI number meaning
| Field Name | Field Value |
|---|---|
| NPI | 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. |
| Entity Type | Code describing the type of health care provider that is being assigned an NPI.
Codes are:
|
| Provider Business Mailing Address | The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code. |
| Provider Business Mailing Address Telephone Number | The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number". |
| Provider Business Mailing Address Fax Number | The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''. |
| Provider Business Practice Location Address Telephone Number | The telephone number associated with the location address of the provider being identified. |
| Provider Business Practice Location Address Fax Number | The fax number associated with the location address of the provider being identified. |
| Provider Enumeration Date | The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date | The date that a record was last updated or changed. |
| Authorized Official Telephone Number | The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code | The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization. |
| Healthcare Provider Taxonomy | Taxonomy Description of the Healthcare Provider. |
| Provider License Number | Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section. |
| Provider License Number State Code | Provider License Number State Code #1 |
| Healthcare Provider Primary Taxonomy Switch | Primary Taxonomy:
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