Provider Demographics
NPI:1386827954
Name:NIELSON, KATE ELIZA (MS)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:ELIZA
Last Name:NIELSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34617 11TH PLACE S
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8706
Mailing Address - Country:US
Mailing Address - Phone:253-838-8516
Mailing Address - Fax:253-838-8517
Practice Address - Street 1:34617 11TH PLACE S
Practice Address - Street 2:SUITE 101
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8706
Practice Address - Country:US
Practice Address - Phone:253-838-8516
Practice Address - Fax:253-838-8517
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALD00003824231H00000X
MA716231H00000X
NVA-197231H00000X
MT1139231H00000X
AZDA5218231H00000X
IDAUD-1544231H00000X
CAAU2481231H00000X
TX80043231H00000X
OHA.01592231H00000X
AL0986A231H00000X
MO2007005535231H00000X
WI514-156231H00000X
MT373237700000X
CAHA7260237700000X
MO2007018549237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist