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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 16 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 5 years ago.

1407858665 NPI Information

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

Primary Taxonomy Code Clasification License Number License State
Y 207N00000X Dermatology MD00046078 WA

NICOLE PREVO KAGEYAMA (NPI 1407858665) Secondary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
N 207ND0900X Dermatology, Dermatopathology MD00046078 WA

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
G8858890 MEDICARE PIN (08) WA
H64679 MEDICARE UPIN (02)
P00301940 Other (non-Medicare) (01) WA RailRoad Medicare

NICOLE PREVO KAGEYAMA (NPI 1407858665) Office Location

Providers in same location

NPI Name Taxonomy Address Enumeration date
1063665800 MEGAN JARED TAYLOR Registered Nurse 955 POWELL AVE. SW, SUITE A
RENTON, CA, United States
24-Oct-2008
1992783898 TAK KWONG DEREK LEE Pharmacist 3915 TALBOT RD S STE 201,
RENTON, WA, United States
03-Jan-2006
1881233328 HANNAH MAE BERGERON Counselor, Mental Health 15617 SE 173RD ST,
RENTON, WA, United States
01-Jan-2020
1205814167 VICTORIA BOISEN Family Medicine 5708 E LAKE SAMMAMISH PKWY SE,
ISSAQUAH, WA, United States
02-Jan-2006
1356329221 NICHOLAS M REZEK Physician Assistant 25246 NETWORK PL,
CHICAGO, IL, United States
02-Jan-2006
1326105271 CHARLES H CAPLAN Otolaryngology 4033 TALBOT RD S, STE 230
RENTON, WA, United States
02-Jan-2007
1053478875 GENOA HEALTHCARE, LLC Pharmacy 707 S GRADY WAY STE 700,
RENTON, WA, United States
02-Jan-2007
1598822199 SYBIL HIGGINS GAUTREAU Dietitian, Registered 7729 120TH PL SE,
NEWCASTLE, WA, United States
02-Jan-2007
1407913015 BARBARA J SARDAROV Social Worker 4503 51ST AVE SW,
SEATTLE, WA, United States
02-Jan-2007
1316368707 PEMBERLEY VANDER LINDEN Marriage & Family Therapist 17240 34TH AVE S,
SEATAC, WA, United States
02-Jan-2014
1083002760 JOANNE FROMHOLD Counselor, Mental Health 15 S GRADY WAY STE 625,
RENTON, WA, United States
02-Jan-2015
1417596867 HEAVEN RACE MINISTRIES Case Management PO BOX 598,
RENTON, WA, United States
02-Jan-2020
1558900878 ANNA CATHERINE MARAIA Physician Assistant 707 S GRADY WAY STE 600,
RENTON, WA, United States
03-Jan-2020
1831256148 MARK J. COOK Obstetrics & Gynecology 1200 SW 27TH ST,
RENTON, WA, United States
03-Jan-2007
1194882373 JOHN MICHAEL HARDY Dentist 10700 SE 174TH ST, STE 104
RENTON, WA, United States
03-Jan-2007
1932266160 WILLIAM GORDON GURRAD Dentist 10700 SE 174TH ST, SUITE #204
RENTON, WA, United States
03-Jan-2007
1659428829 GENOA HEALTHCARE, LLC Durable Medical Equipment & Medical Supplies 2009 BROWN ST STE 7,
ANDERSON, IN, United States
03-Jan-2007
1073660262 CAMMY CHICOTA-CARROLL Psychologist, Clinical 3339 FALLING BRK STE 104,
SAN ANTONIO, TX, United States
03-Jan-2007
1275718686 GENOA HEALTHCARE, LLC Pharmacy, Community/Retail Pharmacy 279 SUMMIT DR STE 200,
WATERFORD, MI, United States
03-Jan-2008
1437453669 CHELSEY A MYERS Physician Assistant 400 S 43RD ST,
RENTON, WA, United States
03-Jan-2011

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:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
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:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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